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Virginia rates for HCPCS 50081

Perq Nl/Pl Lithotrp Complex >2 Cm Mlt Locations

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,021.31 / $7,492.34 / $20,725.81
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
$1,063.67 / $1,276.40 / $1,574.23
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,217.68 / $1,748.85 / $2,449.92
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,623.28 / $3,025.56 / $6,057.00
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$349.77 / $403.41 / $807.60
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$244.84 / $282.39 / $565.32
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,267.07 / $1,699.36 / $6,585.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,693.00 / $11,671.00 / $21,639.00