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North Carolina 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 $1,905–$12,0230%10%10th90th$8,511$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
$1,905.46 / $8,912.51 / $12,022.64
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,698.24 / $2,691.53
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $12,022.64 / $19,498.45
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $28,183.83 / $28,183.83
Wellcare
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$2,818.38 / $2,818.38 / $2,818.38