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Oklahoma 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
$758.58 / $2,454.71 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $630.96 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $758.58 / $933.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $891.25 / $3,890.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $676.08 / $4,168.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $1,348.96 / $2,754.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $616.60 / $891.25