go back

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
$524.81 / $2,630.27 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $524.81 / $870.96
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
$436.52 / $588.84 / $831.76
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $758.58 / $8,317.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $602.56 / $933.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $489.78 / $1,202.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $831.76 / $1,071.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $645.65 / $1,000.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $630.96 / $3,630.78
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $630.96 / $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 / $602.56 / $977.24