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Wisconsin rates for HCPCS 50394

Injection Procedure Pyelography Via Tube/Cath

Facilitymedian $129 · 10th–90th $47–$5010%10%10th90th$129Professionalmedian $200 · 10th–90th $87–$1,4130%10%20%10th90th$200$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $309.03 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $165.96 / $239.88
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $102.33 / $199.53
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $112.20 / $218.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,412.54 / $1,412.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $2,951.21 / $2,951.21
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $1,412.54 / $1,412.54