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Louisiana rates for HCPCS 50955

Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.14 / $1,230.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $556.61 / $708.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,153.11 / $5,491.37 / $9,832.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.97 / $580.91 / $703.40
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.86 / $502.05 / $709.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $6,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.37 / $601.36 / $959.23