go back

Utah rates for HCPCS 50976

Ureteral Endosc Via Ureterot W/Dest&/Inc W/Wo Bx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$666.21 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.72 / $666.21 / $1,051.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.29 / $664.91 / $1,001.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.80 / $385.63 / $499.61
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,298.64 / $9,810.86 / $14,297.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.47 / $910.46 / $1,071.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.18 / $540.41 / $969.13