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South 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
$383.67 / $1,061.68 / $9,727.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,220.94 / $5,908.67 / $10,140.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $3,208.42 / $4,122.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.44 / $557.52 / $1,473.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.00 / $10,257.00 / $16,249.00