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Kentucky 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
$330.92 / $787.00 / $3,740.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,041.00 / $2,067.00 / $2,978.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.85 / $421.18 / $485.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.44 / $553.54 / $553.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.00 / $1,450.00 / $5,301.00