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Nebraska 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 $7,943 · 10th–90th $2,291–$14,1250%20%10th90th$7,943Professionalmedian $3,020 · 10th–90th $2,455–$3,8900%20%10th90th$3,020$1.0K$2.0K$5.0K$10.0K$20.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $7,943.28 / $14,125.38
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$11,481.54 / $11,481.54 / $11,481.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $12,882.50 / $25,118.86
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,818.38 / $15,488.17
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 / $3,019.95 / $3,890.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $8,128.31 / $14,125.38