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Missouri 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
$851.00 / $3,158.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.69 / $403.69 / $411.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.58 / $458.00 / $684.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.76 / $518.45 / $938.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.92 / $675.36 / $10,868.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.88 / $650.64 / $2,631.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $1,632.00 / $2,539.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.52 / $502.36 / $1,005.84