go back

Missouri 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
$537.03 / $2,511.89 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $446.68 / $831.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,819.70 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $489.78 / $741.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $457.09 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $549.54 / $891.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $954.99 / $12,022.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $776.25 / $6,165.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,818.38 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $549.54 / $933.25