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Nebraska 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
$812.83 / $3,801.89 / $12,589.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $12,589.25 / $24,547.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $660.69 / $7,585.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $891.25 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $6,456.54 / $8,317.64