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New York 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
$430.42 / $2,920.00 / $7,185.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,100.00 / $7,264.00 / $12,274.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.78 / $1,254.00 / $4,050.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$533.78 / $533.78 / $3,479.91
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.00 / $332.00 / $793.98
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$533.78 / $597.00 / $8,498.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $4,840.00 / $9,202.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.37 / $405.37 / $1,123.70