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Oregon 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
$1,122.02 / $1,380.38 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $691.83 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,202.26 / $1,698.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,023.29 / $1,380.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,023.29 / $1,905.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,023.29 / $1,445.44
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,071.52 / $1,122.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $851.14 / $1,380.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,071.52 / $1,513.56
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,481.54 / $23,442.29 / $35,481.34
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,202.26 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $5,754.40 / $40,738.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,096.48 / $1,548.82