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Colorado 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
$1,098.00 / $3,149.00 / $8,734.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.16 / $467.16 / $619.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,946.00 / $9,472.00 / $17,487.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.19 / $666.82 / $919.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.69 / $685.25 / $919.96
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.16 / $628.88 / $784.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.50 / $691.77 / $889.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,463.00 / $4,182.00 / $7,179.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.22 / $751.30 / $1,300.83