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North Carolina 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
$831.76 / $1,995.26 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $602.56 / $1,412.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $794.33 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $831.76 / $1,348.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $724.44 / $1,230.27
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $977.24 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $2,137.96 / $4,265.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $660.69 / $1,230.27
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $4,786.30 / $4,786.30
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $4,365.16