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Ohio rates for HCPCS 50395

Intro Guide Pelvis&/Ureter W/Dilat Nfros Tract

Facilitymedian $3,090 · 10th–90th $708$4,0740%10%10th90th$3,090Professionalmedian $50 · 10th–90th $40$600%50%10th90th$50$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $3,090.30 / $4,073.80
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $323.59
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $50.12 / $60.26