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Georgia rates for HCPCS 50684

Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter

Facilitymedian $3,020 · 10th–90th $229–$7,4130%5%10%10th90th$3,020Professionalmedian $115 · 10th–90th $50–$2690%10%10th90th$115$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $3,630.78 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $114.82 / $213.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $831.76 / $1,584.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $131.83 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $114.82 / $302.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $151.36 / $389.05
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $245.47 / $562.34
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $1,348.96 / $2,344.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $120.23 / $302.00