go back

South Carolina 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
$413.15 / $1,131.26 / $9,727.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$780.00 / $1,649.43 / $2,843.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $6,081.57 / $7,814.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.72 / $601.17 / $1,210.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,607.00 / $8,667.00