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Nebraska 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
$2,166.29 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.68 / $482.68 / $2,782.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,896.99 / $5,281.43 / $9,914.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.68 / $795.48 / $1,060.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.53 / $1,208.58 / $1,615.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.87 / $905.30 / $4,882.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.84 / $1,221.18 / $3,905.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$521.28 / $1,034.10 / $1,604.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.34 / $1,145.54 / $1,604.92
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $902.10 / $1,293.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,775.00 / $3,227.00 / $6,169.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.35 / $1,148.06 / $1,463.96