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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
$497.00 / $1,300.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.33 / $959.07 / $1,032.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,498.75 / $5,665.72 / $9,832.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.00 / $850.80 / $1,116.60
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.98 / $785.23 / $1,050.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.00 / $1,429.00 / $4,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.12 / $830.38 / $1,287.74