go back

Wisconsin rates for HCPCS 50951

Ureteral Endoscopy Via Ureterostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.44 / $782.69 / $1,894.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.00 / $3,483.00 / $5,962.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$987.63 / $1,154.11 / $1,861.56
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.43 / $400.15 / $747.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.04 / $566.33 / $4,195.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.00 / $400.15 / $747.90
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.82 / $958.25 / $1,352.55
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,473.31 / $2,473.31 / $2,473.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,257.00 / $3,088.30 / $4,295.00