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Delaware 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
$3,140.00 / $3,140.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.00 / $91.54 / $142.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.50 / $108.28 / $233.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.48 / $158.76 / $294.64