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Virginia rates for HCPCS 50976

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.00 / $2,561.00 / $8,920.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.50 / $530.00 / $575.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.95 / $539.59 / $740.04
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.05 / $727.11 / $7,369.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.86 / $629.17 / $1,159.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.67 / $524.00 / $646.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.19 / $650.46 / $922.65
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.00 / $675.00 / $1,071.83
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.06 / $637.99 / $2,039.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.06 / $637.99 / $2,039.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,911.00 / $3,276.00 / $5,340.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.38 / $647.94 / $1,024.88