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Washington, DC rates for HCPCS 50740

Ureteropyelostomy Anast Ureter Renal Pelvis

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
$1,330.67 / $1,330.67 / $1,330.67
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,430.00 / $1,435.39 / $1,569.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,282.71 / $1,574.51 / $4,282.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.34 / $2,778.78 / $2,778.78
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
$1,116.40 / $1,820.21 / $3,219.67