go back

Virginia rates for HCPCS 50830

Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,045.68 / $4,886.37 / $9,539.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,701.09 / $2,045.68 / $2,232.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,604.05 / $10,127.70 / $14,105.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,641.12 / $2,098.62 / $2,878.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,061.98 / $2,312.83 / $4,026.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,805.42 / $2,417.62 / $4,483.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,699.54 / $2,039.45 / $2,515.32
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,921.03 / $2,511.48 / $3,470.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,287.00 / $2,517.00 / $4,171.06
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,736.00 / $2,375.08 / $4,321.01
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,736.00 / $2,375.08 / $4,321.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,568.84 / $2,471.90 / $3,925.17