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Texas 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
$691.83 / $2,511.89 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $660.69 / $1,047.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $6,606.93 / $12,589.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $691.83 / $933.25
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $812.83 / $1,258.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $14,454.40
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $5,011.87 / $5,011.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $933.25 / $3,890.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $741.31 / $977.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $1,122.02 / $1,479.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $794.33 / $1,412.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $812.83 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $2,511.89 / $4,897.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $691.83 / $1,071.52
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $549.54 / $549.54