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Alaska rates for HCPCS 50961

Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $5,888.44 / $14,125.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $524.81 / $2,137.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,479.11 / $2,511.89