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Ohio 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
$525.46 / $2,547.00 / $10,635.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.19 / $353.37 / $972.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $3,092.00 / $14,996.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.98 / $400.54 / $739.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.73 / $402.88 / $629.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.30 / $369.30 / $654.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.91 / $473.71 / $725.33
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.05 / $515.35 / $700.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.23 / $438.69 / $582.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $1,952.00 / $4,132.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.22 / $465.61 / $800.52