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Missouri 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
$851.00 / $3,158.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.83 / $597.89 / $610.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.04 / $681.81 / $1,028.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.25 / $770.37 / $1,394.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.14 / $891.99 / $2,087.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.42 / $965.51 / $3,905.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $1,729.00 / $2,664.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.61 / $813.86 / $1,456.17