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Missouri 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
$370.06 / $2,507.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.81 / $178.78 / $370.06
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.33 / $61.33 / $61.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.00 / $1,818.00 / $4,958.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.68 / $138.51 / $330.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.69 / $111.69 / $111.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.84 / $177.85 / $489.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.81 / $246.60 / $769.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.66 / $371.93 / $2,348.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,103.00 / $1,770.00 / $2,768.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.95 / $305.14 / $567.96