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Florida 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)

Facilitymedian $8,511 · 10th–90th $1,445–$21,8780%10%10th90th$8,511$0.5$5.0$50.0$500.0$5.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $7,762.47 / $21,877.62
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$14,791.08 / $14,791.08 / $14,791.08
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $6,309.57 / $12,302.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $11,481.54 / $26,915.35
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$2,290.87 / $2,290.87 / $2,290.87
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$190.55 / $190.55 / $190.55
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $13,489.63 / $23,988.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $10,000.00 / $15,848.93