go back

Louisiana 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
$483.00 / $1,300.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.68 / $736.50 / $792.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,153.11 / $5,491.37 / $9,832.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.40 / $654.00 / $857.17
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.89 / $602.54 / $805.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.00 / $1,429.00 / $4,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.67 / $618.28 / $988.53