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Missouri 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
$1,110.00 / $2,598.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.82 / $401.37 / $409.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.58 / $452.00 / $681.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.04 / $516.29 / $933.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.96 / $671.47 / $12,000.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.93 / $647.46 / $2,618.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,742.00 / $2,849.00 / $5,200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.36 / $499.95 / $974.48