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California 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
$1,445.44 / $5,248.07 / $15,848.93
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,073.80 / $4,073.80 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $177.83 / $602.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $4,466.84 / $12,882.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $316.23 / $602.56
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $912.01 / $5,754.40
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $173.78 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $181.97 / $512.86
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $147.91 / $524.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $269.15 / $562.34
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $1,023.29 / $1,023.29
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,630.27 / $2,630.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $436.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $165.96 / $537.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $177.83 / $630.96
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $870.96
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $204.17 / $389.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $2,951.21 / $7,943.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $169.82 / $416.87