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Rhode Island 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
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.31 / $144.88 / $219.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.56 / $160.97 / $518.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.56 / $152.19 / $646.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,069.00 / $2,023.00 / $4,602.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.22 / $319.07 / $671.07