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Alaska rates for HCPCS 50974

Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $6,606.93 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $602.56 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $758.58 / $3,090.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,318.26 / $3,311.31
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $1,862.09 / $2,951.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $2,238.72 / $3,162.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $457.09 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,318.26 / $3,019.95