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Alaska 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
$2,464.00 / $6,782.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,652.55 / $2,652.55 / $3,724.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,967.71 / $1,967.71 / $1,967.71
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.73 / $2,652.55 / $3,793.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.85 / $3,502.80 / $4,649.97
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,085.00 / $2,418.60 / $3,605.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.73 / $2,652.55 / $3,793.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.15 / $2,440.50 / $3,643.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,410.80 / $2,361.23 / $3,645.50