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Pennsylvania 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
$831.76 / $2,691.53 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $524.81 / $1,318.26
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $2,691.53 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $630.96 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $616.60 / $954.99
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $660.69 / $724.44
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $630.96 / $954.99
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $2,344.23 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $630.96 / $1,584.89
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $954.99
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $741.31 / $1,023.29
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $478.63
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $457.09 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $2,238.72 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $575.44 / $1,000.00