go back

Oklahoma 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
$760.00 / $3,576.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.86 / $593.86 / $604.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.37 / $690.37 / $705.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.33 / $718.52 / $873.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.02 / $821.84 / $2,848.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.25 / $696.89 / $3,905.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,279.00 / $2,637.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.50 / $610.50 / $973.25