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Nevada 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
$724.44 / $4,466.84 / $10,232.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $724.44 / $1,621.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $8,128.31 / $8,128.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $954.99 / $1,513.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $2,630.27 / $2,630.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $831.76 / $1,230.27
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $831.76 / $4,265.80
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $2,818.38
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $4,265.80
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $3,548.13 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $870.96 / $1,230.27