go back

South Carolina 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
$1,548.82 / $4,897.79 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $602.56 / $1,174.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,513.56 / $2,884.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $724.44 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $2,089.30 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $776.25 / $1,288.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $812.83 / $1,318.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $3,890.45 / $7,943.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $676.08 / $1,174.90