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Indiana 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
$522.11 / $1,341.82 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.11 / $557.98 / $736.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.00 / $5,790.87 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.13 / $811.80 / $1,120.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$539.17 / $761.19 / $1,141.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.83 / $659.70 / $913.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,218.40 / $2,218.40 / $2,218.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.79 / $737.24 / $1,205.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,638.00 / $2,854.00 / $4,271.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.23 / $670.58 / $1,099.77