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Michigan 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

Facilitymedian $1,905 · 10th–90th $398–$4,8980%10%10th90th$1,905Professionalmedian $170 · 10th–90th $65–$4370%5%10%10th90th$170$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $1,905.46 / $4,897.79
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,071.52 / $1,071.52 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $169.82 / $436.52
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $74.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $97.72 / $97.72
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $141.25 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $181.97 / $524.81
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $1,905.46 / $4,897.79
Health Alliance Plan
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,071.52 / $1,071.52 / $1,071.52
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $190.55 / $588.84
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $181.97 / $398.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $1,584.89 / $3,801.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $186.21 / $446.68