go back

Indiana rates for HCPCS 50572

Rnl Ndsc Nfrot W/Urtrl Cathj W/Wo Dilat Ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.86 / $1,261.51 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.86 / $524.99 / $692.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.00 / $4,320.00 / $8,230.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.41 / $775.70 / $1,070.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.53 / $716.51 / $1,074.77
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.55 / $620.97 / $859.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.40 / $423.40 / $423.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.60 / $694.37 / $1,134.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,638.00 / $2,854.00 / $4,271.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.55 / $608.97 / $1,026.40