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Rhode Island 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
$1,513.56 / $1,548.82 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $691.83 / $1,778.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $588.84 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $741.31 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $2,511.89 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $776.25 / $1,096.48