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Nevada 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
$541.89 / $1,706.00 / $4,473.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.17 / $438.89 / $1,858.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,877.00 / $5,379.00 / $8,190.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.02 / $478.72 / $700.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,653.10 / $2,653.10 / $2,653.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.16 / $471.96 / $671.77
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $459.93 / $2,850.31
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,850.31 / $5,618.32 / $5,618.32
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.62 / $335.50 / $666.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,282.00 / $2,940.00 / $7,138.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.00 / $558.00 / $880.40