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Delaware 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
$3,140.00 / $3,140.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.99 / $534.22 / $534.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.91 / $668.00 / $925.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.41 / $667.02 / $1,210.70