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California 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
$1,778.28 / $6,025.60 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $575.44 / $2,454.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,570.88 / $12,882.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $794.33 / $1,621.81
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $2,570.40 / $7,079.46
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $724.44 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $602.56 / $1,288.25
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $316.23 / $588.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $512.86 / $954.99
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $19,498.45 / $19,498.45
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $3,890.45 / $3,890.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $588.84 / $933.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $602.56 / $1,230.27
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,548.82 / $1,548.82
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $363.08 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $4,365.16 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $575.44 / $1,288.25