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Louisiana 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 / $1,288.25 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $724.44 / $1,071.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $5,623.41 / $9,772.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $831.76 / $1,000.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $776.25 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,621.81 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $724.44 / $1,148.15