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Washington, DC rates for HCPCS 50980

Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus

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
$371.72 / $371.72 / $371.72
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.47 / $421.63 / $5,165.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.85 / $521.63 / $1,183.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.10 / $781.43 / $781.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.00 / $9,938.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.06 / $763.86 / $905.41