go back

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
$501.19 / $2,398.83 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $416.87 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $501.19 / $616.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $891.25 / $5,495.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $524.81 / $5,888.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $3,311.31 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $426.58 / $616.60