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Washington, DC rates for HCPCS 50725

Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $1,614.00 / $7,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.22 / $1,165.22 / $1,165.22
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,264.73 / $1,267.91 / $1,378.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.88 / $1,518.82 / $3,701.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.07 / $2,454.55 / $2,454.55
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
$983.48 / $1,603.50 / $2,843.99