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Indiana rates for HCPCS 50953

Ureteral Endoscopy Via Ureterost W/Wo Dil Ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.06 / $459.96 / $5,634.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,682.00 / $3,950.00 / $13,810.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.69 / $450.23 / $662.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,218.40 / $2,218.40 / $2,218.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $3,870.00 / $5,490.00