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Arkansas 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
$772.38 / $1,083.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.91 / $827.26 / $917.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,782.27 / $4,782.27 / $5,738.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.26 / $801.08 / $801.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,718.94 / $1,718.94 / $1,718.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.25 / $1,014.95 / $1,139.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.00 / $1,230.00 / $2,539.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.62 / $666.07 / $1,176.32