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Kentucky 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
$356.64 / $787.00 / $3,740.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.06 / $423.18 / $514.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,041.00 / $2,067.00 / $2,978.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.95 / $407.93 / $605.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.71 / $453.91 / $523.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.82 / $457.15 / $788.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.31 / $596.55 / $596.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.42 / $592.74 / $1,071.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $2,723.00 / $6,295.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.96 / $613.19 / $825.52