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Washington, DC rates for HCPCS 50630

Urtrolithotomy Lower One-Third Ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $4,673.00 / $7,007.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.29 / $945.29 / $945.29
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.74 / $1,029.65 / $1,530.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.73 / $1,207.43 / $3,005.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.14 / $1,993.31 / $1,993.31
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
$830.96 / $1,298.38 / $2,309.57