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New York 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
$823.22 / $3,419.00 / $7,521.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.41 / $741.88 / $1,507.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,100.00 / $7,264.00 / $12,274.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.58 / $646.52 / $1,454.82
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$853.05 / $853.05 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.05 / $853.05 / $853.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.57 / $685.57 / $7,227.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.29 / $1,049.95 / $2,344.01
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $1,008.90 / $1,646.40
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.93 / $812.73 / $1,216.29
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.65 / $728.65 / $1,083.92
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $685.57 / $7,227.90
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.83 / $1,029.58 / $2,183.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,768.00 / $4,176.00 / $8,312.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.42 / $678.87 / $1,571.91
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$774.23 / $774.23 / $2,165.15
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.65 / $774.23 / $1,264.59