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Washington, DC 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
$443.67 / $2,080.00 / $4,100.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.86 / $935.25 / $935.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.00 / $1,171.00 / $26,408.00