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North Dakota 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
$66.18 / $263.95 / $2,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.72 / $171.53 / $330.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.19 / $513.48 / $787.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.69 / $111.69 / $111.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.13 / $194.35 / $815.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.03 / $198.54 / $546.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.67 / $477.85 / $2,348.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,294.97 / $1,294.97 / $1,294.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.67 / $458.78 / $738.00