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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
$427.53 / $2,792.00 / $7,307.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,100.00 / $7,264.00 / $12,274.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.31 / $1,254.00 / $4,050.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.24 / $531.24 / $3,479.91
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $521.00 / $833.60
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.24 / $555.00 / $3,479.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $4,840.00 / $9,202.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.49 / $401.49 / $1,092.58