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Nebraska 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
$2,166.29 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.32 / $513.32 / $2,959.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,732.29 / $13,189.77 / $24,760.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.98 / $845.41 / $1,127.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.58 / $1,284.45 / $1,717.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.69 / $975.31 / $6,043.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.60 / $1,298.70 / $4,150.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,033.58 / $1,379.56 / $3,145.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.00 / $1,216.86 / $1,706.09
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $959.70 / $1,374.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,775.00 / $3,227.00 / $6,169.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.01 / $1,264.64 / $1,557.02