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Connecticut 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
$2,290.87 / $4,570.88 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $407.38 / $831.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $11,748.98 / $13,803.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $660.69 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $575.44 / $933.25
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $616.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $4,570.88 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $467.74 / $1,047.13