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Indiana rates for HCPCS 50955

Ureteral Endoscopy Via Ureterostomy W/Biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.70 / $491.90 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.70 / $397.94 / $480.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,682.00 / $3,950.00 / $15,727.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.37 / $390.53 / $603.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.89 / $485.12 / $713.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.96 / $507.57 / $702.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,379.37 / $3,379.37 / $3,379.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.27 / $541.86 / $1,076.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,094.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.57 / $510.20 / $838.22