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Idaho 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
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.64 / $460.39 / $808.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.56 / $612.75 / $684.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.11 / $713.81 / $857.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.28 / $600.60 / $686.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $496.16 / $624.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,965.97 / $8,522.07 / $10,689.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.61 / $538.61 / $665.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,620.00 / $4,150.00 / $4,441.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.17 / $520.87 / $765.17