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Louisiana 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
$379.00 / $1,236.00 / $3,500.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$684.81 / $1,263.78 / $2,441.25
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $133.65 / $133.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.00 / $1,187.00 / $2,514.00