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Indiana 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
$676.08 / $3,801.89 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $616.60 / $1,148.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $19,952.62 / $27,542.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $776.25 / $1,230.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $602.56 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $954.99 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $741.31 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,168.69 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $707.95 / $1,174.90