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Washington, DC rates for HCPCS 50391

Instlj Ther Agent Renal Pelvis&/Ureter Via Tub

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.76 / $2,080.00 / $4,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.93 / $101.93 / $134.76
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.37 / $112.96 / $660.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.62 / $152.01 / $355.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.69 / $284.17 / $284.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $549.00 / $5,940.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.78 / $212.77 / $329.26