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Oklahoma 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

Facilitymedian $2,399 · 10th–90th $646$6,6070%5%10%10th90th$2,399Professionalmedian $646 · 10th–90th $525$8910%20%10th90th$646$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $2,454.71 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $630.96 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $758.58 / $954.99
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $1,288.25 / $4,073.80
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $676.08 / $4,168.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $2,290.87 / $7,244.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $616.60 / $891.25