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Missouri 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
$812.83 / $2,570.40 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $562.34 / $1,318.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,819.70 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $630.96 / $933.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $489.78 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $691.83 / $1,122.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $870.96 / $3,548.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $831.76 / $3,630.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,380.38 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $676.08 / $1,122.02