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Pennsylvania rates for HCPCS 50970

Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $2,326.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.57 / $366.17 / $467.49
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.69 / $3,159.00 / $14,886.03
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.52 / $515.82 / $702.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.32 / $486.23 / $753.08
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.68 / $561.69 / $561.79
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.00 / $2,326.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.57 / $391.30 / $1,940.95
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $493.10 / $904.30
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.62 / $487.62 / $842.58
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.88 / $356.88 / $542.90
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.40 / $359.34 / $542.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.00 / $1,305.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.98 / $456.68 / $764.71