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Rhode Island 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
$1,513.56 / $1,548.82 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $446.68 / $1,122.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $407.38 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $549.54 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,677.35 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $537.03 / $812.83