go back

Idaho 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
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.06 / $570.01 / $974.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.10 / $636.54 / $764.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.06 / $783.99 / $1,032.34
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.41 / $679.28 / $842.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $606.08 / $762.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,886.52 / $12,228.99 / $15,681.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.49 / $658.43 / $805.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,550.00 / $12,152.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.28 / $648.19 / $917.60