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Maryland 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
Professional
Modifier
Low / Median / High Price
$331.13 / $407.38 / $1,122.02
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $380.19 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $467.74 / $1,023.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $380.19 / $602.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $436.52 / $724.44
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $426.58 / $489.78