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Arkansas rates for HCPCS 50976

Ureteral Endosc Via Ureterot W/Dest&/Inc W/Wo Bx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $1,064.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.62 / $634.39 / $700.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,782.27 / $4,782.27 / $5,738.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.30 / $615.83 / $615.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,718.94 / $1,718.94 / $1,718.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.27 / $810.54 / $937.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.00 / $1,230.00 / $2,539.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.73 / $510.92 / $902.32