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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
$297.56 / $2,922.00 / $5,743.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,962.05 / $3,861.91 / $5,627.91
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,443.08 / $5,792.87 / $8,441.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $1,649.00 / $2,824.00