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Iowa 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
$2,218.00 / $3,576.15 / $7,119.04
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.83 / $580.20 / $1,113.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.96 / $964.78 / $7,271.65
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.96 / $985.48 / $3,170.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $5,023.00 / $7,305.00