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Virginia rates for HCPCS 50390

Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.13 / $2,431.00 / $8,294.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $2,390.00 / $2,954.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.14 / $105.77 / $130.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.47 / $134.06 / $198.41
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.71 / $132.16 / $1,171.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,066.00 / $1,893.00 / $3,765.00