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Indiana rates for HCPCS 50980

Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.27 / $1,386.00 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.27 / $351.68 / $464.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,682.00 / $3,950.00 / $15,727.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.44 / $471.80 / $651.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.01 / $480.02 / $720.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.41 / $400.01 / $576.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,379.37 / $3,379.37 / $3,379.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.61 / $466.78 / $745.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,148.00 / $6,094.00 / $12,090.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.66 / $418.64 / $687.98