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Missouri 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
$851.00 / $3,158.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $683.37 / $697.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.85 / $777.00 / $1,158.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.61 / $879.29 / $1,593.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.47 / $1,019.52 / $2,963.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.62 / $1,103.40 / $4,459.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.00 / $2,332.00 / $3,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.65 / $852.15 / $1,663.41