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Wisconsin rates for HCPCS 50551

Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.64 / $747.54 / $1,894.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.00 / $9,096.00 / $15,579.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$939.87 / $1,098.31 / $1,771.54
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.55 / $405.09 / $734.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.64 / $577.71 / $5,801.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.60 / $405.09 / $734.91
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.41 / $920.52 / $1,291.07
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,705.44 / $2,705.44 / $2,705.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,960.00 / $4,155.00 / $5,865.00