search again

Nationwide rates for HCPCS 50081

Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; complex (eg, stone[s] > 2 cm, branching stones, stones in multiple locations, ureter stones, complicated anatomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.31 / $5,757.00 / $12,332.18
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,424.47 / $9,774.85 / $9,774.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,989.00 / $9,720.00 / $17,206.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.12 / $5,034.57 / $6,221.63
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$124.67 / $124.67 / $124.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,059.00 / $6,527.50 / $12,055.49