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Washington, DC rates for HCPCS 50972

Ureteral endoscopy through ureterotomy, 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
$371.54 / $3,162.28 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $380.19 / $1,122.02
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $1,258.93 / $7,943.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $467.74 / $1,023.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $338.84 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,737.80 / $17,378.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $446.68 / $870.96