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Colorado 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
$1,098.00 / $3,149.00 / $8,734.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.35 / $532.35 / $706.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,974.00 / $2,971.00 / $7,022.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.35 / $760.19 / $1,048.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.04 / $784.36 / $1,054.51
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.35 / $716.62 / $894.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.84 / $788.28 / $1,013.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,361.00 / $2,537.00 / $3,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.55 / $865.16 / $1,384.03