go back

Nebraska 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
$1,506.15 / $5,463.36 / $13,841.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,896.99 / $5,281.43 / $9,914.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.54 / $626.52 / $3,726.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.96 / $932.43 / $2,979.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $3,726.00 / $7,934.00