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Arizona 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
$1,170.00 / $2,736.07 / $5,506.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,640.88 / $2,700.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,049.52 / $3,049.52 / $3,049.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.66 / $459.99 / $2,109.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,578.00 / $2,567.00 / $5,029.00