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Rhode Island 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
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.59 / $543.04 / $734.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.85 / $645.71 / $1,041.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.00 / $768.28 / $1,101.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,069.00 / $1,788.00 / $4,602.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.46 / $758.73 / $1,020.84