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Washington, DC rates for HCPCS 50405

Pyeloplasty Complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $3,261.55 / $7,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,472.52 / $1,472.52 / $1,472.52
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,601.41 / $1,603.18 / $1,800.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,432.41 / $1,872.01 / $4,680.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,417.50 / $3,100.17 / $3,100.17
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
$1,297.38 / $1,944.01 / $3,592.05