go back

Missouri 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
$851.00 / $3,158.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.74 / $524.40 / $535.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.15 / $595.00 / $892.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.62 / $676.64 / $1,223.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.83 / $877.22 / $12,000.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.28 / $847.10 / $3,428.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,176.89 / $2,306.00 / $3,041.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.77 / $653.58 / $1,277.34