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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
$1,445.44 / $3,090.30 / $6,760.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $794.33 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,019.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $1,122.02 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,019.95 / $5,370.32