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Wyoming 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
Professional
Modifier
Low / Median / High Price
$557.62 / $557.62 / $557.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.00 / $1,301.00 / $1,627.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.34 / $928.26 / $1,324.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $5,606.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.01 / $1,433.40 / $2,209.67