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Nebraska 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
$2,344.23 / $5,011.87 / $12,589.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $5,128.61 / $10,000.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $457.09 / $8,912.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $602.56 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $5,495.41 / $8,912.51