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Washington, DC rates for HCPCS 51820

Cystourethroplasty with unilateral or bilateral ureteroneocystostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,150.30 / $7,278.00 / $9,719.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.30 / $1,150.30 / $1,150.30
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.96 / $1,251.68 / $1,390.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.20 / $1,512.66 / $3,657.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.54 / $2,423.14 / $2,423.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $1,319.00 / $16,382.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.98 / $1,577.69 / $2,807.60