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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
$360.69 / $373.86 / $1,876.96
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.27 / $389.06 / $444.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,745.52 / $1,745.52 / $1,745.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.50 / $487.69 / $1,096.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.26 / $483.14 / $771.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.95 / $438.02 / $749.10
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.27 / $417.75 / $519.96