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Virginia 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
$641.01 / $3,991.00 / $8,920.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.63 / $641.01 / $696.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.93 / $650.80 / $892.58
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.20 / $882.62 / $9,211.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.86 / $760.85 / $1,401.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.37 / $632.84 / $780.51
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.19 / $786.70 / $1,114.60
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.00 / $816.00 / $1,293.26
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.59 / $771.73 / $2,052.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.59 / $771.73 / $2,052.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,911.00 / $3,276.00 / $5,340.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.74 / $784.97 / $1,211.70