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Oklahoma 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
$625.00 / $2,876.00 / $7,500.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,450.57 / $8,614.95 / $13,717.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.77 / $534.11 / $4,240.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $2,900.00 / $5,543.93