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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
$1,175.00 / $7,365.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.45 / $804.00 / $1,128.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.02 / $1,210.60 / $1,210.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.86 / $1,070.20 / $1,430.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,077.35 / $6,427.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.72 / $968.36 / $5,240.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.00 / $4,960.00 / $11,732.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.89 / $876.24 / $1,467.04