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Alaska rates for HCPCS 50431

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; existing access

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$854.66 / $6,541.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.31 / $171.53 / $1,351.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.70 / $223.84 / $1,193.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.09 / $326.07 / $436.36
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.65 / $534.24 / $1,927.75
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.50 / $461.00 / $1,416.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.09 / $337.34 / $1,851.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.97 / $427.57 / $1,191.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.00 / $424.00 / $424.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.80 / $621.28 / $984.02