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Colorado 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
$915.00 / $3,189.00 / $8,734.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.44 / $91.54 / $151.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.30 / $132.88 / $247.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.92 / $118.15 / $252.13
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.72 / $130.72 / $282.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.61 / $157.13 / $245.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.00 / $1,491.00 / $3,011.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.88 / $214.56 / $373.68