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Virginia rates for HCPCS 50693

Plmt Urtrl Stent Prq Pre-Existing Nfros Tract

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.98 / $4,309.42 / $8,471.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.89 / $1,087.76 / $1,341.58
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.30 / $955.83 / $1,739.70
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$538.04 / $2,122.42 / $2,972.27
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.25 / $292.45 / $5,122.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,303.00 / $9,373.00 / $17,192.00