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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
$2,041.74 / $4,073.80 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $588.84 / $2,951.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $12,589.25 / $24,547.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $851.14 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,258.93 / $1,698.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $1,202.26 / $6,165.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,174.90 / $4,168.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,318.26 / $1,698.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,230.27
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $1,047.13 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,235.94 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,096.48 / $1,412.54