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Arizona rates for HCPCS 50433

Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,376.00 / $2,897.00 / $6,329.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.94 / $982.37 / $1,606.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,049.52 / $3,049.52 / $3,049.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.83 / $1,118.13 / $3,627.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,140.00 / $3,339.00 / $5,838.00