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Ohio 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
$685.64 / $2,547.00 / $10,635.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.27 / $461.09 / $1,267.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.00 / $3,264.00 / $19,117.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.10 / $548.38 / $916.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.29 / $524.75 / $819.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.02 / $559.22 / $852.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.00 / $660.44 / $945.94
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.75 / $671.23 / $913.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.55 / $557.20 / $737.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,665.00 / $5,268.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.62 / $605.91 / $1,040.80