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Texas 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
$436.32 / $2,128.00 / $6,762.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,631.91 / $11,778.32 / $21,218.66
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.68 / $295.68 / $295.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,860.97 / $6,860.97 / $6,860.97
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,074.88 / $12,000.00 / $12,000.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.40 / $493.93 / $1,024.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.90 / $498.47 / $1,100.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.00 / $2,064.00 / $4,509.00