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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
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.72 / $599.64 / $1,051.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.50 / $798.74 / $891.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$521.91 / $928.51 / $1,114.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.07 / $781.74 / $893.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $645.70 / $812.33
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,886.52 / $12,228.99 / $15,681.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.29 / $702.29 / $865.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,450.00 / $6,124.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.77 / $670.99 / $996.05