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Wyoming 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
Professional
Modifier
Low / Median / High Price
$461.30 / $461.30 / $461.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.00 / $1,079.00 / $1,349.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.96 / $769.37 / $1,094.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $5,606.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.60 / $1,457.31 / $1,825.56