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Nationwide rates for HCPCS 50580

Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $3,162.28 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $676.08 / $1,479.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $5,128.61 / $13,803.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $794.33 / $1,479.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $1,737.80 / $4,265.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $933.25 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,162.28 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $776.25 / $1,380.38