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Alabama 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
$575.00 / $1,063.77 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.34 / $1,063.77 / $1,063.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,926.71 / $4,753.60 / $6,395.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.14 / $818.00 / $965.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.02 / $717.76 / $1,754.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $1,768.00 / $3,360.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.39 / $587.17 / $905.32