go back

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
$593.09 / $2,172.00 / $7,513.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.83 / $633.41 / $897.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,890.70 / $6,347.43 / $12,314.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.35 / $640.19 / $959.67
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.40 / $522.40 / $522.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,619.61 / $3,619.61 / $3,619.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.79 / $810.99 / $1,235.33
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $14,302.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,359.92 / $4,459.84 / $4,957.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.72 / $786.96 / $1,343.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.81 / $888.35 / $1,045.11
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.30 / $854.30 / $854.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.72 / $802.42 / $1,517.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.33 / $835.53 / $1,268.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.00 / $2,064.00 / $4,509.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.12 / $703.77 / $1,075.51
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.54 / $569.24 / $783.27