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New Hampshire 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
$100.00 / $2,482.59 / $8,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.29 / $876.14 / $2,482.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $5,299.00 / $8,600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.06 / $1,135.00 / $1,713.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.97 / $1,243.75 / $1,964.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.69 / $1,318.61 / $2,189.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,611.00 / $8,611.00 / $8,611.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.18 / $1,119.78 / $2,175.48
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.97 / $520.27 / $662.16