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Arkansas 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
$445.51 / $975.00 / $2,812.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,259.72 / $3,259.72 / $3,911.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.91 / $719.91 / $719.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.00 / $1,230.00 / $2,539.00