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Wisconsin rates for HCPCS 50953

Ureteral Endoscopy Via Ureterost W/Wo Dil Ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.52 / $829.04 / $1,894.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.00 / $6,787.00 / $10,517.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,044.40 / $1,220.46 / $1,968.56
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.55 / $426.46 / $792.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.00 / $642.29 / $5,801.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.50 / $426.46 / $792.19
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.81 / $1,024.58 / $1,432.95
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.18 / $2,630.18 / $2,630.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,960.00 / $4,155.00 / $5,865.00