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Delaware 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
$3,140.00 / $3,140.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.90 / $369.67 / $440.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.73 / $481.73 / $648.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.22 / $552.87 / $980.49