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Illinois 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
$537.03 / $1,862.09 / $5,623.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $12,302.69 / $16,218.10
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $645.65 / $1,698.24
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,951.21 / $7,943.28