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Washington 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
$539.70 / $1,074.31 / $14,464.32
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,139.84 / $24,470.54 / $49,939.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,795.54 / $6,795.54 / $11,321.29
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.30 / $817.57 / $8,428.82
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.62 / $788.62 / $831.64
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.67 / $564.40 / $4,273.27
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,231.92 / $26,091.73 / $49,939.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$879.00 / $1,689.00 / $7,385.00