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Delaware 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
$3,140.00 / $3,140.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.73 / $610.19 / $610.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.73 / $763.28 / $1,056.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.86 / $772.09 / $1,407.16