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Alabama 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
$575.44 / $1,445.44 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $446.68 / $812.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,786.30 / $6,456.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $416.87 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $446.68 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $3,019.95 / $4,365.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $416.87 / $645.65