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Indiana 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
$331.24 / $1,386.00 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.24 / $353.37 / $467.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,682.00 / $3,950.00 / $13,810.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.16 / $435.20 / $600.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.18 / $483.08 / $724.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.15 / $418.67 / $579.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,218.40 / $2,218.40 / $2,218.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.91 / $464.38 / $753.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,638.00 / $2,854.00 / $4,271.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.19 / $423.25 / $691.50