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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
$660.69 / $3,311.31 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $371.54 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $1,621.81 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $489.78 / $831.76
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $12,022.64 / $22,908.68
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $245.47 / $389.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $457.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $2,691.53 / $5,011.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $436.52 / $758.58
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $323.59