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Maryland 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
Professional
Modifier
Low / Median / High Price
$615.32 / $649.25 / $1,114.66
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.27 / $657.06 / $751.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,659.03 / $2,659.03 / $2,659.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.45 / $834.75 / $1,852.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.38 / $817.13 / $1,310.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.78 / $739.10 / $1,217.13
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.27 / $706.54 / $879.59