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South 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 $9,120 · 10th–90th $3,020–$16,5960%10%20%10th90th$9,120$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$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
$3,548.13 / $9,120.11 / $16,595.87
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $9,549.93 / $19,054.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $7,762.47 / $7,762.47
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,737.80 / $2,951.21
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,079.46 / $16,218.10 / $32,359.37