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Washington, DC rates for HCPCS 50930

Closure Ureterocutaneous Fistula W/Visc Rpr

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
$1,164.88 / $1,164.88 / $1,164.88
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,266.71 / $1,360.00 / $1,501.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.19 / $1,514.82 / $3,700.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.38 / $2,452.23 / $2,452.23
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
$1,025.58 / $2,670.97 / $2,841.30