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Iowa rates for HCPCS 50437

Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, with postprocedure tube placement, when performed; including new access into the renal collecting system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $3,235.94 / $6,760.83
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $436.52 / $1,318.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $5,011.87 / $9,549.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $602.56 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $7,762.47 / $10,715.19