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Virginia 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
$1,298.66 / $4,771.00 / $9,539.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.54 / $1,298.66 / $1,420.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,671.00 / $14,927.78 / $20,791.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.98 / $1,340.13 / $1,837.98
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,315.85 / $1,473.75 / $2,565.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.07 / $1,534.78 / $2,853.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.45 / $1,302.54 / $1,606.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,228.77 / $1,590.84 / $2,217.05
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,435.00 / $1,600.00 / $2,663.81
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.18 / $1,538.23 / $2,749.75
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,124.18 / $1,538.23 / $2,749.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.06 / $1,544.20 / $2,522.86