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Indiana 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
$142.93 / $592.72 / $5,634.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.00 / $4,320.00 / $8,230.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.24 / $193.86 / $311.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.85 / $258.85 / $258.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,638.00 / $2,811.00 / $4,271.00