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New York 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
$666.14 / $3,213.00 / $7,521.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.00 / $598.64 / $928.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,283.00 / $5,160.00 / $11,809.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.15 / $523.08 / $1,179.98
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$689.69 / $689.69 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.69 / $689.69 / $689.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.42 / $555.42 / $3,479.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.79 / $853.99 / $1,895.78
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $817.16 / $1,323.20
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.21 / $658.27 / $985.14
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.34 / $590.17 / $878.40
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $555.42 / $3,479.91
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.02 / $853.99 / $1,767.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.00 / $3,496.00 / $5,963.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.68 / $589.03 / $1,529.92
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.42 / $627.42 / $1,746.87
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.34 / $627.42 / $1,024.81