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Arkansas 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
$718.95 / $1,070.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.91 / $768.01 / $851.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,703.29 / $8,703.29 / $10,443.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.37 / $742.99 / $742.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,718.94 / $1,718.94 / $1,718.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.48 / $981.10 / $1,190.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.00 / $1,230.00 / $2,539.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.66 / $612.35 / $1,091.42