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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
$724.44 / $2,691.53 / $8,317.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $2,691.53 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,848.93 / $15,848.93 / $15,848.93
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $2,344.23 / $8,317.64
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $758.58
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $309.03 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $2,238.72 / $10,964.78