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Arkansas 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
$626.30 / $1,070.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.68 / $669.02 / $740.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,259.72 / $3,259.72 / $3,911.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.09 / $648.65 / $648.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.91 / $719.91 / $719.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.47 / $820.72 / $921.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $811.00 / $2,285.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.36 / $531.11 / $950.89