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Rhode Island 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
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.69 / $441.96 / $603.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.57 / $532.24 / $702.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.30 / $647.69 / $879.56
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
$388.58 / $609.67 / $939.78