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Indiana 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
$524.81 / $3,801.89 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $489.78 / $1,096.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $18,197.01 / $26,302.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $707.95 / $1,071.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $467.74 / $537.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $758.58 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $588.84 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,168.69 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $549.54 / $891.25