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Delaware 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
$3,140.00 / $3,140.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.28 / $566.47 / $566.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.38 / $708.45 / $981.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.02 / $700.61 / $1,284.08