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Rhode Island 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
$1,513.56 / $1,548.82 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $562.34 / $1,479.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $478.63 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $616.60 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $4,073.80 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $645.65 / $912.01