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Virginia rates for HCPCS 50840

Replacement of all or part of ureter by intestine segment, including intestine anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,394.82 / $4,771.00 / $9,539.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.23 / $1,394.82 / $1,524.49
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
$1,125.73 / $1,439.56 / $1,974.35
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,411.37 / $1,580.73 / $2,752.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,237.93 / $1,648.42 / $3,058.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.06 / $1,400.47 / $1,727.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,322.49 / $1,712.70 / $2,384.73
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.00 / $1,715.00 / $2,861.98
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,209.08 / $1,632.79 / $2,947.43
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.08 / $1,632.79 / $2,947.43
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
$1,015.32 / $1,558.10 / $2,661.87