go back

Virginia 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
$537.03 / $2,630.27 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $537.03 / $1,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $7,413.10 / $9,332.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $588.84 / $831.76
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $758.58 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $616.60 / $933.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $489.78 / $1,230.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $831.76 / $1,096.48
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $660.69 / $977.24
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $645.65 / $3,630.78
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $645.65 / $3,630.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $3,548.13 / $5,888.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $616.60 / $977.24