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Virginia rates for HCPCS 50955

Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.97 / $2,561.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.52 / $416.33 / $503.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.96 / $452.02 / $654.42
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.97 / $549.45 / $9,211.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.05 / $545.89 / $962.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.76 / $490.51 / $604.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.15 / $544.92 / $814.99
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.00 / $641.54 / $815.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.77 / $483.50 / $3,512.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.21 / $620.64 / $3,512.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $7,061.00 / $12,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.65 / $635.79 / $935.13