go back

Arizona 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
$1,170.00 / $2,736.07 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.22 / $398.72 / $1,813.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,640.88 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.02 / $316.87 / $394.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,805.45 / $8,805.45 / $8,805.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.94 / $465.96 / $852.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.44 / $484.56 / $3,339.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.35 / $543.60 / $5,914.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,343.00 / $3,339.00 / $5,838.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.88 / $467.61 / $807.13