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Florida 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
$412.00 / $3,714.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.81 / $333.42 / $433.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $1,649.96 / $1,964.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.33 / $479.64 / $776.02
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,759.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.07 / $262.58 / $461.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.41 / $421.98 / $566.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$539.00 / $2,671.00 / $5,507.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.52 / $421.95 / $725.82
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.75 / $248.75 / $248.75