go back

Georgia 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
$947.11 / $3,391.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.76 / $720.83 / $1,273.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.78 / $3,851.83 / $8,545.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.11 / $868.41 / $1,646.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,118.81 / $1,233.14 / $1,893.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,185.25 / $3,185.25 / $3,185.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.33 / $1,015.54 / $1,696.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.09 / $761.92 / $1,382.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.00 / $3,218.00 / $5,272.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.14 / $896.81 / $1,509.80