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Indiana 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
$453.81 / $1,166.29 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.81 / $491.13 / $639.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,614.00 / $9,200.00 / $18,942.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.54 / $455.93 / $647.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.01 / $662.13 / $993.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.49 / $573.85 / $794.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,218.40 / $2,218.40 / $2,218.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.54 / $619.66 / $1,048.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,638.00 / $2,854.00 / $4,271.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.43 / $582.00 / $955.91