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Wyoming 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
Professional
Modifier
Low / Median / High Price
$600.66 / $600.66 / $600.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,169.00 / $1,403.00 / $1,753.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.82 / $1,000.32 / $1,427.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $5,606.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.00 / $1,540.47 / $2,379.96