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Wyoming 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
Professional
Modifier
Low / Median / High Price
$57.21 / $147.49 / $439.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.00 / $192.00 / $780.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.26 / $194.41 / $472.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.00 / $788.00 / $3,328.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.62 / $466.48 / $608.51