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Alaska rates for HCPCS 50570

Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,464.00 / $6,782.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,310.40 / $2,310.40 / $3,243.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,713.86 / $1,713.86 / $1,713.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.39 / $2,310.40 / $3,303.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,175.80 / $3,053.40 / $4,056.26
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,817.50 / $2,108.30 / $3,141.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.39 / $2,310.40 / $3,303.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.93 / $2,127.00 / $3,173.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.52 / $2,056.62 / $3,174.74