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Oklahoma 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
$705.23 / $2,445.00 / $7,500.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.90 / $581.61 / $842.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$738.09 / $738.09 / $738.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.52 / $705.23 / $2,180.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.00 / $1,279.00 / $2,637.00