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Georgia 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
$954.99 / $3,715.35 / $7,413.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $2,238.72 / $3,548.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $691.83 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $2,187.76 / $3,467.37