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Alaska rates for HCPCS 50957

Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,255.20 / $6,541.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,663.92 / $1,985.09 / $2,334.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,234.02 / $1,234.02 / $1,451.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.07 / $1,985.09 / $2,779.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.10 / $2,205.00 / $2,950.75
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,408.05 / $1,874.25 / $2,456.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.07 / $1,985.09 / $2,779.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.49 / $1,612.50 / $2,490.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.74 / $1,742.28 / $2,682.12