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Colorado 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
$1,098.00 / $3,149.00 / $8,734.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.44 / $565.44 / $751.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,434.00 / $5,126.00 / $9,729.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.41 / $808.84 / $1,115.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.77 / $833.48 / $1,121.19
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$565.44 / $761.17 / $949.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.61 / $837.28 / $1,076.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,361.00 / $2,537.00 / $3,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.58 / $913.36 / $1,548.50