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Virginia rates for HCPCS 50953

Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.45 / $2,561.00 / $8,294.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.76 / $460.51 / $567.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.10 / $506.68 / $738.42
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.32 / $448.80 / $1,880.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,911.00 / $3,276.00 / $5,340.00