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Arizona 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
$1,445.44 / $3,090.30 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $676.08 / $1,905.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $5,370.32 / $7,943.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $549.54 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $776.25 / $1,288.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $912.01 / $4,365.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $724.44 / $4,466.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $2,511.89 / $4,786.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $660.69 / $1,174.90