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Nationwide rates for HCPCS 50576

Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $3,162.28 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $630.96 / $1,380.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $5,128.61 / $13,803.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $794.33 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $1,819.70 / $4,897.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $870.96 / $1,819.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,162.28 / $7,943.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $724.44 / $1,288.25