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Ohio 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
$522.95 / $2,547.00 / $10,635.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.44 / $351.68 / $967.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,861.00 / $3,554.00 / $19,117.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.08 / $406.91 / $734.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.52 / $400.22 / $625.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.87 / $388.54 / $650.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.37 / $491.97 / $721.83
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.37 / $511.95 / $697.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.23 / $438.69 / $582.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,647.00 / $4,410.00 / $7,427.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.99 / $463.36 / $790.12