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North Carolina 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
$304.75 / $586.86 / $5,449.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.75 / $520.38 / $965.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,526.00 / $7,659.00 / $10,502.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,827.68 / $2,827.68 / $12,000.00