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Arizona rates for HCPCS 50574

Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $3,090.30 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $630.96 / $1,778.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $5,370.32 / $7,943.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $512.86 / $1,479.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $707.95 / $1,174.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $851.14 / $3,019.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $676.08 / $4,168.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,698.24 / $3,235.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $616.60 / $1,096.48