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Arizona rates for HCPCS 50396

Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $3,090.30 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $128.82 / $380.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $316.23 / $478.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $107.15 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $147.91 / $245.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $181.97 / $2,754.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $138.04 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,513.56 / $3,235.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $128.82 / $229.09