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Nationwide rates for HCPCS 50572

Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $3,162.28 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $602.56 / $1,318.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $3,715.35 / $9,549.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $724.44 / $1,318.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $1,513.56 / $4,466.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $812.83 / $1,737.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $1,949.84 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $676.08 / $1,230.27