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Florida 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
$91.54 / $3,000.00 / $10,632.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.64 / $91.54 / $159.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.68 / $37.56 / $85.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.21 / $101.78 / $241.51
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.17 / $193.25 / $208.95
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $139.18 / $429.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.33 / $135.65 / $221.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.00 / $1,916.00 / $4,970.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.55 / $155.59 / $279.22
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.81 / $73.33 / $73.33