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Connecticut rates for HCPCS 50957

Ureteral Endoscopy W/Dest&/Inc W/Wo Biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.83 / $4,450.00 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.43 / $707.01 / $1,067.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,826.00 / $4,451.02 / $11,936.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.34 / $731.85 / $992.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.29 / $631.42 / $1,129.69
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.97 / $719.13 / $719.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,565.00 / $7,010.00 / $11,152.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.13 / $739.32 / $1,376.50