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Washington, DC rates for HCPCS 50974

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $3,162.28 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $501.19 / $1,513.56
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $1,258.93 / $10,715.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $616.60 / $1,318.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $446.68 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $8,128.31 / $26,915.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $588.84 / $1,148.15