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Iowa 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
$2,218.00 / $3,576.15 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.99 / $815.06 / $815.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,213.97 / $1,375.67 / $1,543.59
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.38 / $969.27 / $1,590.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.49 / $1,570.98 / $20,740.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.70 / $1,325.74 / $4,139.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,001.00 / $1,701.90 / $8,863.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.56 / $1,213.97 / $1,701.90
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,040.40 / $1,371.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $5,023.00 / $7,305.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.12 / $1,165.15 / $1,782.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,070.40 / $1,070.40 / $1,259.30