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Connecticut 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
$2,290.87 / $4,570.88 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $524.81 / $1,096.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $13,182.57 / $16,595.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $851.14 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $758.58 / $1,202.26
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $812.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $6,025.60 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $616.60 / $1,348.96