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Washington, DC rates for HCPCS 50400

Pyeloplasty Simple

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
$1,220.42 / $1,220.42 / $1,220.42
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.57 / $1,329.89 / $1,494.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,188.16 / $1,554.12 / $3,883.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,175.78 / $2,571.98 / $2,571.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,648.00 / $3,378.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.94 / $1,692.85 / $2,980.05