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Connecticut 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
$245.47 / $4,570.88 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $114.82 / $199.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $5,888.44 / $8,128.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $134.90 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $128.82 / $346.74
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $218.78 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $3,890.45 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $114.82 / $302.00