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Washington, DC rates for HCPCS 50961

Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.12 / $2,080.00 / $4,100.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.88 / $883.25 / $883.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.00 / $2,343.00 / $26,408.00