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Pennsylvania rates for HCPCS 50974

Ureteral Endoscopy Via Ureterot W/O Imaging W/Bx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $2,326.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.34 / $467.46 / $596.94
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.67 / $658.32 / $893.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.72 / $616.55 / $961.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.64 / $716.51 / $716.51
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.00 / $2,326.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.34 / $498.49 / $2,475.51
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $635.00 / $1,151.70
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.45 / $619.72 / $1,075.77
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.47 / $455.47 / $708.37
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.61 / $458.82 / $708.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.00 / $2,391.00 / $4,789.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.94 / $588.91 / $974.32