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Alabama 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
$575.44 / $1,445.44 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $562.34 / $1,047.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,786.30 / $6,456.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $457.09 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $562.34 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,737.80 / $3,388.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $501.19 / $758.58