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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
$660.69 / $3,311.31 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $588.84 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $1,659.59 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $776.25 / $1,318.26
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $12,022.64 / $22,908.68
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $380.19 / $645.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $2,691.53 / $5,011.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $691.83 / $1,202.26
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $512.86