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Washington, DC 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
$1,017.00 / $2,761.00 / $4,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.72 / $552.72 / $552.72
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.32 / $575.41 / $1,643.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.37 / $788.29 / $1,760.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.76 / $1,164.23 / $1,164.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$665.00 / $762.00 / $6,342.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.38 / $818.61 / $1,348.95