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Colorado 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
$2,506.00 / $4,326.00 / $13,596.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,990.00 / $19,587.00 / $44,198.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,140.19 / $1,649.19 / $2,052.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,370.43 / $1,688.36 / $2,170.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$35.08 / $35.08 / $35.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$29.82 / $29.82 / $29.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,128.00 / $11,924.00 / $19,737.00