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Wyoming 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
Professional
Modifier
Low / Median / High Price
$354.99 / $354.99 / $354.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.00 / $828.00 / $1,034.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.99 / $590.49 / $840.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.00 / $788.00 / $3,328.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.90 / $1,119.51 / $1,403.16