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Mississippi 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
$461.00 / $993.00 / $1,831.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.68 / $1,235.04 / $1,252.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,569.15 / $2,569.15 / $2,569.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.00 / $1,029.00 / $1,029.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,608.65 / $2,608.65 / $2,608.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.31 / $777.48 / $1,025.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.00 / $1,305.00 / $3,046.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.17 / $655.24 / $1,040.42