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Washington, DC 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
$446.68 / $2,754.23 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $446.68 / $1,148.15
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $1,258.93 / $13,182.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $501.19 / $1,202.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $489.78 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $16,218.10 / $45,708.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $489.78 / $933.25