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Louisiana 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
$501.19 / $1,288.25 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $436.52 / $691.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $8,511.38 / $19,054.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $549.54 / $691.83
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $489.78 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,754.23 / $11,481.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $457.09 / $758.58