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Arizona 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 / $3,090.30 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $524.81 / $1,513.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $1,318.26 / $1,995.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $436.52 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $4,677.35 / $4,677.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $588.84 / $1,000.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $707.95 / $4,466.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $562.34 / $3,467.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $2,511.89 / $4,786.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $512.86 / $933.25