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Wyoming 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
Professional
Modifier
Low / Median / High Price
$559.00 / $559.00 / $559.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.00 / $1,306.00 / $1,632.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.20 / $930.97 / $1,327.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.00 / $788.00 / $3,328.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.20 / $1,265.53 / $2,217.59