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Arizona 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
$1,445.44 / $3,090.30 / $6,309.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $1,318.26 / $1,995.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $4,677.35 / $4,677.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $478.63 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $3,630.78 / $5,370.32