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Washington, DC rates for HCPCS 50976

Ureteral Endosc Via Ureterot W/Dest&/Inc W/Wo Bx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $2,761.00 / $4,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.99 / $484.99 / $484.99
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.05 / $550.38 / $5,165.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.50 / $685.40 / $1,545.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.58 / $1,023.08 / $1,023.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.00 / $1,171.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.34 / $877.20 / $1,294.01