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Arizona rates for HCPCS 50430

Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $3,090.30 / $6,309.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $489.78 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $630.96 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,479.11 / $3,235.94