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Oregon 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
$1,202.26 / $1,513.56 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $741.31 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,288.25 / $1,819.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,122.02 / $1,479.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,096.48 / $2,041.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,096.48 / $1,584.89
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,174.90 / $1,202.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $912.01 / $1,479.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,148.15 / $1,621.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,481.54 / $16,218.10 / $19,498.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,288.25 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $5,754.40 / $23,442.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,202.26 / $1,698.24