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Idaho 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
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.04 / $726.87 / $1,275.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.37 / $968.74 / $1,081.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.88 / $1,126.59 / $1,351.66
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.37 / $946.45 / $1,081.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $882.77 / $983.66
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,965.97 / $8,522.07 / $10,689.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.60 / $849.60 / $1,049.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,620.00 / $4,150.00 / $4,441.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.62 / $815.00 / $1,206.94