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Virginia rates for HCPCS 50760

Ureteroureterostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.88 / $5,048.00 / $14,796.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,604.05 / $10,127.70 / $14,105.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,065.81 / $1,278.97 / $1,577.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,214.72 / $1,568.31 / $2,213.06
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,113.06 / $1,504.47 / $2,717.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00