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North Carolina 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
$307.75 / $594.41 / $5,449.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.75 / $529.20 / $1,116.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,526.00 / $7,659.00 / $10,502.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,485.21 / $2,485.21 / $12,000.00