go back

Virginia rates for HCPCS 50688

Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.27 / $2,561.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.59 / $88.27 / $112.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.98 / $90.78 / $124.50
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.94 / $123.06 / $3,026.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.18 / $110.69 / $196.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.53 / $89.44 / $110.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.98 / $108.34 / $161.53
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $114.00 / $180.94
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.79 / $108.73 / $1,683.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.79 / $108.73 / $1,683.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,911.00 / $3,276.00 / $5,340.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.61 / $118.97 / $170.77