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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
$497.00 / $1,300.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.57 / $892.36 / $960.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,863.32 / $3,019.48 / $4,498.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.34 / $791.55 / $1,039.80
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.62 / $730.58 / $977.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.00 / $1,049.00 / $2,271.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.56 / $749.35 / $1,198.08