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Wisconsin 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
$338.84 / $691.83 / $1,905.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $10,232.93 / $17,378.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,258.93 / $1,995.26
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $812.83 / $3,715.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $831.76 / $6,165.95
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $977.24 / $1,479.11
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,197.01 / $26,915.35 / $26,915.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,801.89 / $6,606.93