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Minnesota 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
$144.66 / $642.76 / $2,168.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.04 / $1,074.58 / $2,427.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,345.85 / $2,257.48 / $5,430.68
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,253.45 / $1,990.36 / $4,276.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.76 / $572.72 / $1,587.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,755.00 / $2,872.00 / $4,241.00