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Idaho 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
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.27 / $725.02 / $1,271.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.34 / $966.26 / $1,078.76
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.49 / $1,122.88 / $1,348.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.24 / $944.20 / $1,079.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $779.91 / $981.18
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,562.96 / $20,714.68 / $28,539.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.04 / $847.04 / $1,047.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,450.00 / $6,124.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.17 / $862.31 / $1,203.98