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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
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.90 / $577.04 / $781.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.01 / $685.89 / $1,107.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.00 / $812.83 / $1,170.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,069.00 / $1,788.00 / $4,602.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.94 / $806.70 / $1,240.20