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Idaho 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
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.91 / $683.69 / $1,199.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.22 / $911.02 / $1,017.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.29 / $1,058.94 / $1,271.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.06 / $890.98 / $1,018.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $830.94 / $925.90
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,231.43 / $1,594.64 / $2,085.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.47 / $799.47 / $986.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,620.00 / $4,150.00 / $4,441.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.61 / $774.19 / $1,135.15