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Kentucky 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
$317.58 / $787.00 / $3,740.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,041.00 / $2,067.00 / $2,978.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.49 / $404.21 / $466.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.73 / $531.24 / $531.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $2,723.00 / $6,295.00