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Virginia rates for HCPCS 50706

Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.61 / $2,774.63 / $8,294.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.74 / $917.00 / $1,130.97
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.61 / $883.45 / $1,468.64
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.38 / $252.84 / $982.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $1,045.00 / $2,364.00