go back

Virginia 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
$690.11 / $3,991.00 / $8,920.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.78 / $690.11 / $751.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.58 / $701.51 / $962.12
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.27 / $946.17 / $5,895.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.99 / $815.58 / $1,510.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.63 / $681.16 / $840.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.29 / $846.95 / $1,203.02
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.00 / $880.00 / $1,393.73
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.34 / $820.62 / $2,052.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.34 / $820.62 / $2,052.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,911.00 / $3,276.00 / $5,340.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.87 / $840.28 / $1,334.95