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Alabama 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
$575.00 / $1,003.02 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.35 / $1,003.02 / $1,003.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,014.42 / $2,438.62 / $3,280.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.55 / $772.00 / $910.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.98 / $677.46 / $1,652.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,234.00 / $2,481.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.21 / $570.50 / $853.46