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Wyoming 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
Professional
Modifier
Low / Median / High Price
$350.37 / $350.37 / $432.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.00 / $845.00 / $1,056.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.24 / $600.72 / $1,001.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,607.00 / $2,607.00 / $10,877.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.80 / $1,090.61 / $1,680.37