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Arkansas rates for HCPCS 50555

Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.25 / $975.00 / $2,812.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,703.29 / $8,703.29 / $10,443.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.91 / $719.91 / $719.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.00 / $1,230.00 / $2,539.00