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Indiana 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
$61.27 / $341.57 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.20 / $148.69 / $362.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.45 / $89.99 / $95.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.00 / $4,320.00 / $8,230.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.69 / $144.63 / $277.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.19 / $83.99 / $134.99
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.70 / $347.13 / $499.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.69 / $111.69 / $111.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.15 / $142.47 / $423.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,638.00 / $2,811.00 / $4,271.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.33 / $255.32 / $423.79