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Texas 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
$537.03 / $2,454.71 / $6,918.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $6,760.83 / $12,882.50
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $3,630.78
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $19,498.45 / $19,498.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $562.34 / $2,951.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $478.63 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $4,073.80 / $8,912.51