go back

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
$1,642.00 / $3,042.00 / $6,953.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,526.00 / $9,098.00 / $15,073.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,028.96 / $5,028.96 / $5,028.96
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.64 / $926.84 / $6,520.76
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,216.60 / $10,219.77 / $10,219.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,042.00 / $4,145.00 / $10,407.00