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Texas 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
$776.25 / $2,951.21 / $7,943.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $5,011.87 / $10,232.93
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $2,630.27 / $4,570.88
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $218.78 / $218.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $2,398.83
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $9,332.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $851.14 / $5,128.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $302.00 / $588.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $5,248.07 / $10,964.78