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Louisiana 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
$676.08 / $1,288.25 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $676.08 / $1,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $3,090.30 / $4,466.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $776.25 / $933.25
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $724.44 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $1,202.26 / $4,365.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $676.08 / $1,071.52