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Iowa 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
$2,218.00 / $3,576.15 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.47 / $118.25 / $201.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.63 / $201.47 / $369.92
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.24 / $170.57 / $400.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.12 / $261.97 / $720.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.65 / $287.60 / $3,402.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.12 / $248.95 / $350.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.98 / $211.12 / $400.12
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $166.50 / $355.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,026.00 / $1,623.00 / $2,126.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.34 / $231.65 / $359.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.50 / $119.40 / $282.39