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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
$407.38 / $3,235.94 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $107.15 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $85.11 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $104.71 / $245.47
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $194.98 / $208.93
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $100.00 / $371.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $39.81 / $138.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $1,548.82 / $3,890.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $100.00 / $239.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $74.13 / $125.89