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North Dakota 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
$358.48 / $358.48 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.79 / $358.48 / $358.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.61 / $741.94 / $889.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.84 / $825.04 / $1,065.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.48 / $495.35 / $1,075.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.17 / $675.93 / $927.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.17 / $719.94 / $927.96