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California 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
$445.11 / $4,941.00 / $17,133.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,759.00 / $4,814.00 / $10,705.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $5,609.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,185.52 / $3,764.71 / $8,869.33
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.93 / $443.21 / $598.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.26 / $432.74 / $784.07
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,827.68 / $2,892.80 / $12,000.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.96 / $494.35 / $891.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,523.00 / $7,384.00 / $15,471.00