go back

Connecticut 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
$764.18 / $4,450.00 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.83 / $702.92 / $1,056.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,826.00 / $4,451.02 / $11,936.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.77 / $755.53 / $983.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.05 / $693.28 / $1,118.90
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.52 / $712.50 / $712.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,565.00 / $7,010.00 / $11,152.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.18 / $768.03 / $1,362.97