go back

Iowa 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
$812.83 / $2,570.40 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $645.65 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,318.26 / $1,584.89
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $1,000.00 / $2,137.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,949.84 / $9,120.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,148.15 / $4,168.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,348.96 / $2,041.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,479.11 / $1,479.11
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $1,071.52 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $4,677.35 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $954.99 / $1,778.28
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,258.93