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Alaska rates for HCPCS 50557

Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.28 / $6,541.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,624.14 / $1,934.60 / $2,277.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.76 / $1,203.76 / $1,414.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.34 / $1,934.60 / $2,708.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.88 / $2,152.50 / $2,873.53
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,374.30 / $1,829.63 / $2,398.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.34 / $1,934.60 / $2,708.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.36 / $1,570.00 / $2,432.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.26 / $1,697.49 / $2,619.06