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Missouri 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
$489.78 / $2,511.89 / $7,413.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,819.70 / $4,168.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $870.96 / $12,022.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,818.38 / $4,677.35