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Virginia rates for HCPCS 50080

Perq Nl/Pl Lithotrp Simple Up To 2 Cm 1 Location

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.67 / $7,332.00 / $16,474.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,900.00 / $13,875.00 / $15,752.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.22 / $794.66 / $980.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.62 / $1,189.76 / $1,611.44
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$869.64 / $1,176.64 / $6,585.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,693.00 / $11,671.00 / $21,639.00