go back

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
$1,170.00 / $2,736.07 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.11 / $479.15 / $2,475.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,640.88 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.48 / $384.64 / $480.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,645.45 / $4,645.45 / $4,645.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.03 / $572.40 / $1,039.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.55 / $629.36 / $3,093.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.24 / $554.40 / $3,476.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,578.00 / $2,567.00 / $5,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.25 / $520.22 / $904.67