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Kentucky 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
$554.15 / $787.00 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.15 / $570.60 / $682.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,212.00 / $9,015.00 / $11,253.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.16 / $625.49 / $885.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.74 / $725.73 / $837.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.14 / $725.73 / $1,036.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.67 / $635.94 / $635.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.12 / $805.37 / $1,226.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.00 / $1,913.00 / $5,654.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.08 / $796.31 / $1,136.60