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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
$1,170.00 / $2,359.00 / $6,329.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.57 / $597.94 / $985.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.85 / $258.85 / $258.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.19 / $606.88 / $1,234.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.00 / $1,711.00 / $3,268.00