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Nebraska 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
$1,506.15 / $4,241.22 / $13,841.56
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,502.00 / $3,502.00 / $3,502.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.55 / $166.41 / $347.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.61 / $78.61 / $78.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,243.81 / $3,040.94 / $5,708.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.01 / $145.47 / $599.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.23 / $357.30 / $734.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.98 / $302.50 / $568.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.03 / $473.87 / $2,348.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.56 / $484.16 / $747.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.88 / $290.38 / $747.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.88 / $1,134.19 / $6,043.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.04 / $473.87 / $742.34