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Florida 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
$525.91 / $3,714.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.68 / $525.91 / $682.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $4,764.24 / $5,671.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.75 / $766.61 / $1,232.77
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,759.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.91 / $413.48 / $727.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.75 / $603.61 / $807.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.00 / $3,611.00 / $8,105.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.93 / $700.46 / $1,247.85
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.95 / $390.95 / $390.95