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Indiana 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
$315.62 / $476.88 / $5,634.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,682.00 / $3,950.00 / $15,727.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.45 / $470.10 / $691.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,405.61 / $6,405.61 / $6,405.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $3,870.00 / $5,490.00