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Washington rates for HCPCS 50947

Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement

Facilitymedian $6,457 · 10th–90th $2,188–$28,8400%5%10th90th$6,457$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $9,332.54 / $28,183.83
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $26,915.35 / $56,234.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $11,481.54 / $11,481.54
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,235.94 / $15,488.17
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $2,691.53 / $2,754.23
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $1,819.70 / $1,862.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $26,915.35 / $56,234.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $33,113.11 / $60,255.96