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Texas 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
$500.00 / $2,221.00 / $7,316.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.76 / $374.33 / $521.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,610.90 / $4,256.14 / $8,451.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.82 / $378.39 / $710.01
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.89 / $309.89 / $309.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,376.10 / $2,376.10 / $2,376.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.81 / $478.81 / $728.65
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,388.90 / $12,000.00 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,576.40 / $2,631.76 / $2,931.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.77 / $464.84 / $792.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.16 / $525.10 / $617.76
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.10 / $489.10 / $489.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.77 / $473.94 / $896.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.00 / $492.97 / $746.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.00 / $1,529.00 / $3,287.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.45 / $400.33 / $634.39
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.91 / $336.27 / $463.05