go back

Oklahoma 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
$758.58 / $2,454.71 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $512.86 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $630.96 / $758.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,479.11 / $5,128.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $562.34 / $3,467.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $2,187.76 / $4,073.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $501.19 / $724.44