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Washington, DC rates for HCPCS 50075

Nephrolithotomy Rmvl Large Staghorn Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $1,614.00 / $7,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,535.90 / $1,535.90 / $1,535.90
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,671.31 / $1,735.97 / $1,970.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.14 / $1,999.30 / $4,887.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,478.58 / $3,235.49 / $3,235.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $1,319.00 / $16,382.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,354.61 / $1,805.17 / $3,748.83