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Iowa 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
$457.09 / $2,511.89 / $6,760.83
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $660.69 / $1,148.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $977.24 / $12,302.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $831.76 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $7,079.46 / $14,125.38