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South Carolina 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
$1,288.25 / $4,897.79 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $501.19 / $1,096.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $4,168.69 / $7,762.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $588.84 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $3,235.94 / $4,168.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $645.65 / $1,047.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $676.08 / $1,096.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $6,760.83 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $562.34 / $954.99