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New York 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
$463.45 / $2,792.00 / $7,307.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,100.00 / $7,264.00 / $12,274.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.92 / $1,254.00 / $4,050.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.20 / $578.20 / $3,479.91
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $567.00 / $907.20
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $578.20 / $3,479.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,768.00 / $4,176.00 / $8,312.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.83 / $435.83 / $1,186.86