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Louisiana 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
$380.19 / $1,288.25 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $162.18 / $416.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,288.25 / $2,398.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $131.83 / $489.78
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $660.69 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $154.88 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $1,047.13 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $147.91 / $338.84