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Washington rates for HCPCS 50947

Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $9,332.54 / $28,183.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $6,918.31 / $11,481.54
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $3,235.94 / $15,488.17
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,691.53 / $2,754.23
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $1,862.09 / $1,862.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,054.61 / $28,840.32 / $56,234.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $36,307.81 / $63,095.73