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New York 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
$766.30 / $3,053.00 / $7,343.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.05 / $688.48 / $1,067.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,393.00 / $4,120.00 / $8,836.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.39 / $601.83 / $1,353.55
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.07 / $793.07 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.07 / $793.07 / $793.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.85 / $637.85 / $3,479.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.00 / $976.30 / $2,179.23
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $939.58 / $1,531.20
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.78 / $756.89 / $1,132.72
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.54 / $678.59 / $1,008.70
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $637.85 / $3,479.91
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.65 / $966.32 / $2,032.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.00 / $3,496.00 / $5,963.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.17 / $701.73 / $1,759.01
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.50 / $720.50 / $2,019.07
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.54 / $720.50 / $1,176.83