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Delaware 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
$3,140.00 / $3,140.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.09 / $468.63 / $468.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.45 / $586.24 / $811.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.96 / $579.95 / $1,062.35