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Pennsylvania rates for HCPCS 50951

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.81 / $2,070.00 / $7,629.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.69 / $3,159.00 / $14,886.03
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,285.12 / $7,285.12 / $15,928.88
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.00 / $2,266.00 / $8,017.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.02 / $295.26 / $408.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.00 / $1,305.00 / $3,742.00