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Washington 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
$510.58 / $1,009.49 / $14,464.32
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,555.63 / $13,744.57 / $28,049.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,585.08 / $3,585.08 / $5,972.71
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.59 / $759.64 / $4,505.89
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.93 / $727.62 / $780.55
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$517.78 / $532.41 / $2,173.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,508.65 / $14,655.16 / $28,049.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.00 / $2,431.00 / $11,261.00