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Alaska rates for HCPCS 50553

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,127.03 / $6,541.00 / $13,413.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.36 / $1,782.39 / $2,495.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.36 / $1,782.39 / $2,495.35