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Florida 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
$434.62 / $3,714.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.29 / $434.62 / $563.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $2,513.44 / $2,992.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.21 / $629.01 / $1,018.15
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,759.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.33 / $342.13 / $601.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.99 / $530.56 / $708.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.00 / $3,611.00 / $8,105.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.94 / $574.69 / $952.22
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.33 / $323.33 / $323.33