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Alabama rates for HCPCS 50684

Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,445.44 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $112.20 / $213.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $489.78 / $676.08
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$630.96 / $741.31 / $1,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $109.65 / $186.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $95.50 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $114.82 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $588.84 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $93.33 / $234.42