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Texas 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
$521.00 / $2,172.00 / $7,513.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.05 / $512.41 / $714.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.60 / $518.16 / $776.75
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.02 / $424.02 / $424.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,376.10 / $2,376.10 / $2,376.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.26 / $656.64 / $1,006.60
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $9,388.90
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,531.36 / $3,613.44 / $4,016.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.81 / $637.29 / $1,087.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.41 / $719.59 / $846.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.90 / $664.90 / $664.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.81 / $649.17 / $1,227.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.32 / $675.93 / $1,025.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.00 / $1,529.00 / $3,287.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.02 / $560.49 / $859.51
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.40 / $461.00 / $634.51