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Arkansas 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
$427.62 / $975.00 / $2,812.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,782.27 / $4,782.27 / $5,738.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,575.46 / $2,575.46 / $2,575.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.00 / $1,825.00 / $4,064.00