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Virginia 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
$443.67 / $2,561.00 / $8,294.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.41 / $474.49 / $585.21
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.58 / $518.08 / $762.79
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.32 / $467.18 / $1,943.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,911.00 / $3,276.00 / $5,340.00