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Utah 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
$1,202.26 / $3,388.44 / $5,754.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $3,467.37 / $7,943.28
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,466.84 / $5,248.07 / $11,748.98
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $1,230.27 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,818.38 / $5,128.61