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Idaho 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
$1,412.54 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $602.56 / $1,047.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $4,897.79 / $13,489.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $891.25 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $741.31 / $891.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $912.01 / $3,090.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $776.25 / $933.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $11,748.98 / $16,218.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $741.31 / $891.25
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $812.83 / $12,302.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $6,165.95 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $660.69 / $954.99