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North Dakota 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
$466.44 / $466.44 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.50 / $466.44 / $466.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.49 / $967.41 / $1,159.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.34 / $1,072.56 / $1,385.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.44 / $644.28 / $1,399.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.77 / $880.21 / $1,207.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.64 / $937.52 / $1,207.16