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Maryland 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
Professional
Modifier
Low / Median / High Price
$457.09 / $562.34 / $1,548.82
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $512.86 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $645.65 / $1,380.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $512.86 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $602.56 / $1,000.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $575.44 / $676.08