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Nevada rates for HCPCS 50080

Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; simple (eg, stone[s] up to 2 cm in single location of kidney or renal pelvis, nonbranching stones)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $3,981.07 / $6,918.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $13,182.57 / $17,378.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $5,011.87 / $5,011.87
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $933.25 / $7,762.47
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $5,248.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $3,548.13 / $10,715.19