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California 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
$1,335.00 / $5,382.00 / $17,054.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.87 / $571.24 / $2,782.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,723.00 / $4,505.00 / $9,119.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.79 / $841.11 / $1,607.44
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $5,305.65
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.00 / $582.76 / $1,444.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.11 / $471.68 / $1,111.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.15 / $692.87 / $2,108.44
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.67 / $442.95 / $686.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.94 / $660.87 / $1,180.48
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $3,864.88 / $4,882.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,821.36 / $3,905.52 / $4,349.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$521.89 / $686.59 / $1,016.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.15 / $692.87 / $1,493.66
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,726.73 / $1,726.73 / $1,726.73
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.67 / $416.07 / $635.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $2,699.00 / $7,655.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.52 / $655.98 / $1,767.24