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Hawaii 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
$988.00 / $2,898.00 / $3,444.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.85 / $258.85 / $258.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.96 / $680.27 / $825.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $1,106.00 / $1,106.00