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California 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
$1,778.28 / $6,025.60 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $691.83 / $2,951.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,570.88 / $12,882.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $933.25 / $1,949.84
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $2,570.40 / $7,079.46
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $831.76 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $6,025.60 / $7,079.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $707.95 / $1,548.82
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $380.19 / $691.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $602.56 / $1,122.02
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $26,915.35
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $4,570.88 / $4,570.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $707.95 / $1,174.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $707.95 / $1,479.11
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $1,819.70
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $436.52 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $4,365.16 / $11,481.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $691.83 / $1,548.82