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Indiana 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
$346.74 / $1,862.09 / $5,623.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $18,197.01 / $26,302.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $309.03 / $354.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $3,388.44 / $3,388.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $6,025.60 / $10,715.19