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Kansas 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
$1,023.00 / $3,498.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.70 / $484.27 / $680.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.50 / $713.64 / $770.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.53 / $574.90 / $834.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.70 / $648.91 / $5,565.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.06 / $704.12 / $6,131.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,436.00 / $3,096.00 / $6,026.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.72 / $555.84 / $883.64