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New York 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
$469.51 / $2,792.00 / $7,307.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.16 / $481.24 / $855.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,989.00 / $9,720.00 / $16,411.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.74 / $445.42 / $1,015.80
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.71 / $1,254.00 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.71 / $484.71 / $595.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.12 / $585.12 / $3,479.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.01 / $677.94 / $1,512.75
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $574.00 / $918.40
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.49 / $572.95 / $857.45
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.88 / $513.67 / $760.18
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $585.12 / $3,479.91
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.50 / $688.92 / $1,512.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $4,840.00 / $9,202.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.59 / $523.79 / $1,313.50
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.49 / $441.49 / $1,201.53
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.80 / $542.98 / $869.04