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Connecticut 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
$2,183.00 / $4,450.00 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.85 / $953.54 / $1,355.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,826.00 / $4,945.58 / $10,432.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.12 / $1,048.80 / $1,244.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.28 / $829.52 / $1,670.27
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.20 / $864.41 / $864.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,849.00 / $4,647.00 / $9,338.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.61 / $878.53 / $1,685.49