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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
$776.25 / $1,000.00 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $676.08 / $831.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $4,786.30 / $6,606.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $933.25 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,445.44 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $630.96 / $1,148.15