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Pennsylvania 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
$595.15 / $2,422.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.29 / $557.98 / $713.16
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.69 / $3,159.00 / $14,886.03
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.97 / $786.57 / $1,068.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.17 / $737.20 / $1,150.86
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.71 / $855.43 / $855.43
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.00 / $2,371.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.29 / $595.15 / $2,843.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $747.10 / $1,374.60
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.07 / $745.06 / $1,294.04
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.20 / $544.20 / $790.31
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.49 / $548.15 / $790.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.00 / $1,305.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.87 / $704.27 / $1,156.05