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Utah 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
$487.05 / $2,910.00 / $4,387.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,653.00 / $17,467.05 / $25,454.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00