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Alabama 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
$1,096.48 / $2,238.72 / $8,317.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $11,220.18 / $15,488.17
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$14,454.40 / $16,982.44 / $22,908.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $4,365.16 / $7,244.36