go back

Oklahoma 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
$625.00 / $2,876.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.79 / $467.48 / $475.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.01 / $457.53 / $555.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.29 / $491.45 / $588.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.80 / $586.60 / $4,240.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.36 / $605.35 / $5,914.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $2,900.00 / $5,543.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.85 / $501.35 / $735.55