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South Carolina 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
$1,000.00 / $4,897.79 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $380.19 / $676.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,513.56 / $2,884.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $446.68 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $489.78 / $812.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $501.19 / $831.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $3,890.45 / $7,943.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $436.52 / $741.31