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Washington, DC 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
$630.96 / $3,162.28 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $645.65 / $1,905.46
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,258.93 / $7,943.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $794.33 / $1,698.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $575.44 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $8,128.31 / $26,915.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $741.31 / $1,479.11