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Alaska rates for HCPCS 50955

Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,244.19 / $6,541.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,654.55 / $1,967.69 / $2,320.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.00 / $1,227.00 / $1,438.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.78 / $1,967.69 / $2,754.77
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.05 / $2,194.50 / $2,924.41
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,401.30 / $1,865.33 / $2,432.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.78 / $1,967.69 / $2,754.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.64 / $1,597.50 / $2,466.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.45 / $1,726.59 / $2,658.06