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Arizona 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
$594.89 / $2,127.40 / $6,060.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,348.52 / $4,348.52 / $4,348.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.06 / $152.57 / $386.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.33 / $61.33 / $67.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.90 / $238.09 / $391.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.46 / $176.15 / $288.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.69 / $111.69 / $111.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.59 / $167.19 / $453.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.73 / $293.05 / $968.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.35 / $279.68 / $2,348.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.00 / $1,711.00 / $3,268.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.74 / $242.88 / $531.24