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Arizona rates for HCPCS 50434

Convert nephrostomy catheter to 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, via pre-existing nephrostomy tract

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,125.00 / $2,300.00 / $6,060.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,139.00 / $7,139.00 / $7,139.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.01 / $752.99 / $1,231.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,768.35 / $1,768.35 / $1,768.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.32 / $897.35 / $1,777.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,068.00 / $1,525.00 / $3,268.00