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Kentucky 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
$457.81 / $787.00 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.81 / $471.69 / $563.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,041.00 / $2,067.00 / $2,978.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.89 / $511.48 / $717.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.54 / $600.55 / $692.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.32 / $600.55 / $857.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.91 / $526.97 / $526.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.35 / $663.63 / $1,012.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.00 / $1,450.00 / $5,301.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.77 / $648.77 / $918.15