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Oklahoma 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
$625.00 / $2,876.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.13 / $480.03 / $488.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.69 / $503.78 / $604.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.04 / $599.94 / $4,240.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.76 / $616.66 / $5,828.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $2,900.00 / $5,543.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.43 / $492.26 / $755.04