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New York 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
$489.78 / $2,884.03 / $7,413.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $5,888.44 / $12,302.69
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $1,258.93 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $1,318.26 / $50,118.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $363.08 / $1,071.52
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $3,981.07 / $8,709.64
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $416.87 / $1,122.02