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Oklahoma 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
$758.58 / $2,454.71 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $398.11 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $478.63 / $588.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $1,047.13 / $4,466.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $426.58 / $2,630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $1,348.96 / $2,754.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $389.05 / $562.34