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Arizona 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
$1,170.00 / $2,736.07 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.15 / $472.11 / $2,441.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,640.88 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.57 / $379.43 / $474.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,645.45 / $4,645.45 / $4,645.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.07 / $568.51 / $1,026.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.53 / $620.83 / $3,093.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.73 / $548.94 / $3,428.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,578.00 / $2,567.00 / $5,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.45 / $511.48 / $971.54