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Arkansas 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
$624.00 / $1,064.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.87 / $643.66 / $706.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,782.27 / $4,782.27 / $5,738.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.50 / $624.04 / $624.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,718.94 / $1,718.94 / $1,718.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.75 / $821.40 / $981.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.00 / $1,230.00 / $2,539.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.27 / $510.11 / $914.82