go back

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
$1,412.54 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $457.09 / $812.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,584.89 / $9,120.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $691.83 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $562.34 / $691.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $707.95 / $2,344.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $602.56 / $707.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $7,762.47 / $11,220.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $562.34 / $676.08
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $616.60 / $8,317.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,168.69 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $501.19 / $741.31