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Iowa 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 $5,370 · 10th–90th $1,660–$20,4170%10%10th90th$5,370Professionalmedian $2,754 · 10th–90th $1,175–$4,2660%10%20%10th90th$2,754$100.0$500.0$2.0K$10.0K

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
$1,659.59 / $5,248.07 / $8,709.64
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $2,238.72 / $4,897.79
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $7,413.10 / $25,118.86
Medica
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$2,570.40 / $2,570.40 / $2,570.40
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,818.38 / $4,265.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $12,302.69 / $25,118.86