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Florida 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
$527.14 / $3,714.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.82 / $527.14 / $683.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $1,649.96 / $1,964.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $756.91 / $1,185.65
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,759.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.80 / $414.43 / $728.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.75 / $603.61 / $807.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$539.00 / $2,671.00 / $5,507.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.14 / $678.14 / $1,152.77
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.38 / $392.38 / $392.38