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South 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
$1,479.11 / $4,897.79 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $575.44 / $1,122.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,513.56 / $2,884.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $676.08 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $398.11 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $741.31 / $1,202.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $776.25 / $1,230.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $3,890.45 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $630.96 / $1,096.48