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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
$291.10 / $444.40 / $5,634.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,682.00 / $3,950.00 / $15,727.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.98 / $432.54 / $636.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,379.37 / $3,379.37 / $3,379.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,094.00 / $10,413.00