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Nebraska 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
$2,041.74 / $4,073.80 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $489.78 / $2,454.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $12,589.25 / $24,547.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $691.83 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $1,047.13 / $1,412.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $1,000.00 / $8,511.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $954.99 / $3,467.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,096.48 / $1,412.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $870.96 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $3,890.45 / $8,317.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $891.25 / $1,174.90