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Delaware 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
$3,140.00 / $3,140.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.21 / $367.52 / $436.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.99 / $479.74 / $644.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.23 / $578.24 / $987.56