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Delaware 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
$3,140.00 / $3,140.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.46 / $475.56 / $475.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.23 / $593.84 / $823.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.86 / $575.54 / $1,076.57