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North Carolina 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
$245.47 / $707.95 / $8,709.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $426.58 / $1,071.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $2,089.30 / $4,073.80
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $2,884.03 / $2,884.03