go back

Texas rates for HCPCS 50561

Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.00 / $2,128.00 / $6,762.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,173.72 / $6,347.43 / $12,610.23
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.51 / $341.51 / $341.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,619.61 / $3,619.61 / $3,619.61
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,546.56 / $12,000.00 / $12,000.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.27 / $574.12 / $1,074.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.27 / $588.54 / $1,175.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,314.00 / $7,600.00