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Virginia rates for HCPCS 50947

Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $5,248.07 / $16,595.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $11,220.18 / $12,302.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,479.11 / $3,715.35
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,344.23 / $3,235.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,949.84 / $2,951.21
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,862.09 / $10,964.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $12,882.50 / $29,512.09