go back

North Carolina 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
$452.01 / $1,245.00 / $7,362.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.01 / $452.01 / $803.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.49 / $869.00 / $1,326.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.00 / $777.92 / $1,268.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.01 / $643.50 / $1,144.73
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.50 / $643.50 / $1,148.94
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $796.20 / $1,134.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,728.00 / $3,733.00 / $6,543.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.48 / $678.48 / $1,518.93
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,966.95 / $12,000.00 / $14,302.50
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,352.80 / $3,352.80 / $3,815.93