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Alaska rates for HCPCS 50976

Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $6,606.93 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $602.56 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,621.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $758.58 / $3,090.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,318.26 / $3,235.94
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $1,862.09 / $2,884.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $2,187.76 / $3,162.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $446.68 / $1,621.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,288.25 / $3,019.95