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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
$1,100.00 / $2,250.00 / $11,228.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,255.62 / $11,204.67 / $15,073.87
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$13,883.43 / $16,807.00 / $22,610.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $4,121.00 / $7,227.00