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Alaska rates for HCPCS 50972

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,464.00 / $6,782.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,683.64 / $1,683.64 / $2,360.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,247.55 / $1,247.55 / $1,247.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.11 / $1,683.64 / $2,407.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.00 / $2,228.10 / $2,949.90
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.25 / $1,538.45 / $2,290.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.11 / $1,683.64 / $2,407.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.58 / $1,551.00 / $2,312.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.85 / $1,497.06 / $2,310.44