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Nebraska 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
$2,041.74 / $4,073.80 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $630.96 / $3,162.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $12,589.25 / $24,547.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $912.01 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,348.96 / $1,819.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,318.26 / $8,511.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,258.93 / $4,466.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,412.54 / $1,862.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,318.26
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $1,023.29 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $3,890.45 / $8,317.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,174.90 / $1,513.56