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Virginia 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
$416.87 / $2,570.40 / $7,079.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $7,413.10 / $9,332.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $489.78 / $1,230.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $660.69 / $1,318.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $501.19 / $794.33
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $426.58 / $8,709.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $7,413.10 / $14,125.38