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Pennsylvania 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 $2,089 · 10th–90th $204–$7,2440%5%10%10th90th$2,089Professionalmedian $178 · 10th–90th $63–$4370%10%20%10th90th$178$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$204.17 / $1,995.26 / $7,244.36
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,288.25 / $3,548.13 / $4,677.35
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $169.82 / $426.58
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $97.72
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,691.53 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $295.12 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $177.83 / $446.68
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $446.68 / $524.81
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $288.40 / $501.19
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $1,412.54 / $2,630.27
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,412.54 / $1,905.46 / $2,187.76
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $85.11 / $380.19
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $1,584.89 / $6,165.95
Martin's Point
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$3,548.13 / $3,548.13 / $3,548.13
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $177.83 / $588.84
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $245.47 / $630.96
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $169.82 / $239.88
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $87.10 / $239.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $1,548.82 / $3,890.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $165.96 / $457.09