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Virginia 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
$404.47 / $2,561.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.09 / $404.47 / $439.47
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
$322.07 / $411.86 / $564.86
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.47 / $557.02 / $7,369.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.16 / $478.62 / $886.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.39 / $400.07 / $493.42
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.89 / $496.40 / $702.19
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.00 / $514.00 / $818.50
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.54 / $482.74 / $3,512.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.54 / $482.74 / $3,512.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,524.00 / $5,979.00 / $13,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.43 / $481.50 / $767.47