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Kentucky 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
$549.54 / $1,778.28 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $645.65 / $758.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $10,715.19 / $11,220.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $630.96 / $870.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $707.95 / $831.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $724.44 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $954.99 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $954.99 / $3,548.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $954.99 / $3,388.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $776.25 / $1,122.02