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Nebraska 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
$1,506.15 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.13 / $396.38 / $1,858.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,732.29 / $13,189.77 / $24,760.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.13 / $591.41 / $814.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.19 / $981.67 / $1,266.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.38 / $673.85 / $6,328.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.90 / $1,003.79 / $5,828.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.19 / $1,003.79 / $4,538.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.06 / $919.09 / $1,152.05
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $862.20 / $1,085.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.46 / $957.89 / $1,161.90