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Indiana 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
$128.82 / $3,801.89 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $123.03 / $288.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $4,265.80 / $8,317.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $128.82 / $199.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $117.49 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $147.91 / $245.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $2,818.38 / $4,265.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $134.90 / $223.87