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Idaho 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
$1,407.00 / $4,500.00 / $7,045.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.91 / $696.96 / $927.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,886.52 / $12,228.99 / $15,681.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,550.00 / $12,152.00 / $12,233.00