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South 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
$186.43 / $3,776.00 / $9,727.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.81 / $933.34 / $1,581.71
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.71 / $688.63 / $1,104.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $3,866.00 / $6,584.00