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Arizona 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
$1,170.00 / $2,736.07 / $5,747.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.56 / $363.41 / $1,876.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,640.88 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.66 / $291.55 / $364.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,049.52 / $3,049.52 / $3,049.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.78 / $438.46 / $787.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.93 / $476.99 / $2,594.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.53 / $423.42 / $2,631.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,068.00 / $1,711.00 / $3,268.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.85 / $394.06 / $684.31