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Washington, DC rates for HCPCS 50540

Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation)

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
$1,211.50 / $1,211.50 / $1,211.50
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,315.85 / $1,318.97 / $1,520.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,179.61 / $1,603.12 / $3,852.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.33 / $2,553.40 / $2,553.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $1,319.00 / $16,382.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.02 / $2,189.32 / $2,958.52