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Wisconsin 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
$467.74 / $954.99 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $478.63 / $1,148.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $10,232.93 / $17,378.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $891.25 / $2,238.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,380.38 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,479.11 / $1,659.59
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $2,454.71 / $4,786.30
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,148.15 / $1,412.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $3,235.94 / $6,309.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $851.14 / $3,467.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $630.96
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $1,047.13 / $1,778.28
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $14,454.40 / $14,454.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $2,290.87 / $3,388.44
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $2,398.83
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,754.23 / $3,467.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,801.89 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $758.58 / $1,995.26