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Rhode Island 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
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.85 / $436.33 / $582.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.55 / $523.64 / $692.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.00 / $623.45 / $865.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,654.00 / $3,447.00 / $7,350.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.96 / $599.77 / $924.51