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Nebraska 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
$2,041.74 / $4,073.80 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $371.54 / $1,862.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $5,128.61 / $10,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $537.03 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $812.83 / $1,071.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $776.25 / $6,165.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $741.31 / $2,630.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $851.14 / $1,096.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $575.44 / $870.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,235.94 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $691.83 / $891.25