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Missouri 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
$851.00 / $3,158.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.35 / $634.61 / $647.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.01 / $720.00 / $1,105.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.15 / $816.25 / $1,480.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.60 / $946.77 / $2,831.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.60 / $1,024.06 / $4,139.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.00 / $2,544.00 / $7,466.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.17 / $791.28 / $1,545.20