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Colorado 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
$932.00 / $3,133.00 / $8,734.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,946.00 / $9,472.00 / $17,487.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.69 / $495.93 / $711.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.17 / $509.39 / $760.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,645.00 / $6,090.00 / $14,057.00