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Delaware 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
$3,140.00 / $3,140.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.37 / $360.69 / $360.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.49 / $450.66 / $624.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.87 / $415.07 / $816.19