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Pennsylvania 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
$831.76 / $2,691.53 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $645.65 / $1,584.89
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $5,248.07 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $776.25 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $758.58 / $1,202.26
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $812.83 / $891.25
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $776.25 / $1,174.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $2,344.23 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $758.58 / $1,862.09
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $1,202.26
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $912.01 / $1,258.93
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $660.69
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $416.87 / $602.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $2,754.23 / $16,595.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $707.95 / $1,230.27