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New York 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
$467.74 / $2,818.38 / $7,413.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $7,762.47 / $13,803.84
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $1,258.93 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $1,318.26 / $50,118.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $524.81 / $1,071.52
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $4,365.16 / $10,964.78
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $398.11 / $1,096.48