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Virginia rates for HCPCS 50785

Ureteroneocystostomy; with vesico-psoas hitch or bladder flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $4,365.16 / $9,549.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $11,220.18 / $15,488.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,288.25 / $3,235.94
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,949.84 / $2,818.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,698.24 / $2,570.40
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,621.81 / $5,248.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,467.37 / $7,079.46