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Louisiana 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
$501.19 / $1,288.25 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $426.58 / $630.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $3,019.95 / $6,760.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $489.78 / $588.84
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $467.74 / $616.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $1,202.26 / $4,365.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $426.58 / $676.08