go back

Oregon 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
$1,122.02 / $1,412.54 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $691.83 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,202.26 / $1,698.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,023.29 / $1,380.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,023.29 / $1,905.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,023.29 / $1,445.44
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,096.48 / $1,122.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $851.14 / $1,380.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,071.52 / $1,513.56
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $9,772.37 / $13,182.57
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,202.26 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $3,715.35 / $15,135.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,096.48 / $1,548.82