go back

North Dakota 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
$356.68 / $356.68 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.77 / $356.68 / $356.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.10 / $738.42 / $885.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.35 / $820.14 / $1,059.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.68 / $492.18 / $1,070.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.36 / $671.90 / $923.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,025.00 / $5,025.00 / $5,025.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.36 / $657.31 / $923.24