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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
$555.52 / $787.00 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.52 / $572.01 / $687.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,014.00 / $8,584.00 / $11,253.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.61 / $620.64 / $864.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.03 / $727.50 / $839.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.59 / $727.50 / $1,039.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.94 / $637.85 / $637.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.46 / $806.14 / $1,230.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.00 / $950.00 / $3,394.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.71 / $768.22 / $1,113.09