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
$501.19 / $4,897.79 / $16,595.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,513.56 / $2,884.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $6,025.60 / $7,762.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $562.34 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $6,760.83 / $10,471.29