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Kansas rates for HCPCS 50575

Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with endopyelotomy (includes cystoscopy, ureteroscopy, dilation of ureter and ureteral pelvic junction, incision of ureteral pelvic junction and insertion of endopyelotomy stent)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $5,495.41 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $812.83 / $1,348.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $933.25 / $1,479.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $1,202.26 / $8,317.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $870.96 / $5,248.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,073.80 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $851.14 / $1,202.26