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Arizona rates for HCPCS 50684

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

Facilitymedian $1,738 · 10th–90th $81–$5,6230%5%10%10th90th$1,738Professionalmedian $115 · 10th–90th $47–$2240%5%10%10th90th$115$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $3,090.30 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $114.82 / $208.93
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $190.55 / $354.81
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $102.33 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $109.65 / $251.19
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $128.82 / $794.33
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $229.09 / $3,388.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $1,047.13 / $2,137.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $102.33 / $229.09