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Missouri 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
$480.65 / $2,832.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.54 / $393.08 / $487.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.11 / $485.76 / $741.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.34 / $593.88 / $951.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.95 / $652.02 / $4,332.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.21 / $872.78 / $5,914.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,742.00 / $3,500.00 / $7,466.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.96 / $583.24 / $1,138.60