go back

Texas 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
$425.00 / $2,128.00 / $6,762.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,004.45 / $6,347.43 / $12,314.01
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.22 / $275.22 / $275.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,619.61 / $3,619.61 / $3,619.61
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,485.21 / $12,000.00 / $12,000.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.48 / $477.37 / $1,082.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.48 / $484.48 / $1,082.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,314.00 / $7,600.00