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South Carolina rates for HCPCS 50953

Ureteral Endoscopy Via Ureterost W/Wo Dil Ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.32 / $1,095.95 / $9,727.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$780.00 / $1,649.43 / $2,843.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $2,106.17 / $2,706.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.10 / $574.46 / $1,170.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,607.00 / $8,667.00