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Kansas 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
$1,023.00 / $3,498.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.02 / $488.83 / $686.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.63 / $670.00 / $743.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.86 / $580.16 / $841.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.02 / $640.20 / $5,565.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.44 / $643.17 / $5,828.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,436.00 / $3,096.00 / $6,026.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.51 / $523.41 / $891.96