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Alaska rates for HCPCS 50953

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,165.26 / $6,541.00 / $13,413.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.59 / $1,842.86 / $2,580.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.59 / $1,842.86 / $2,580.00