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Arizona 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
$1,170.00 / $2,736.07 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.83 / $538.21 / $2,782.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.33 / $432.45 / $540.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.03 / $582.03 / $582.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.83 / $652.61 / $1,169.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.78 / $707.61 / $2,633.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.80 / $628.80 / $3,905.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,068.00 / $1,711.00 / $3,268.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.10 / $595.98 / $1,090.60