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California 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
$1,737.80 / $6,025.60 / $16,982.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,570.88 / $12,882.50
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $1,202.26 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $6,025.60 / $7,079.46
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $407.38 / $630.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $457.09 / $776.25
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,498.45 / $19,498.45 / $26,915.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $549.54 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $4,365.16 / $11,481.54