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Idaho 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
$1,407.00 / $4,500.00 / $7,045.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.96 / $715.60 / $1,023.31
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,886.52 / $12,228.99 / $15,681.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,550.00 / $12,152.00 / $12,233.00