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Arkansas 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
$133.44 / $1,000.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.31 / $144.88 / $360.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.52 / $105.52 / $105.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.99 / $635.99 / $763.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.89 / $96.89 / $413.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.13 / $141.44 / $437.41
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.35 / $121.35 / $121.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $875.79 / $1,991.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.16 / $265.62 / $591.96