go back

Idaho rates for HCPCS 50684

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

Facilitymedian $240 · 10th–90th $63$4,4670%5%10th90th$240Professionalmedian $117 · 10th–90th $48$2450%10%10th90th$117$20.0$100.0$500.0$2.0K$10.0K

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
$1,412.54 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $117.49 / $204.17
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $398.11 / $602.56
BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$302.00 / $602.56 / $912.01
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $186.21 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $128.82 / $229.09
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $416.87
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $128.82 / $331.13
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $138.04 / $295.12
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $51.29 / $81.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $125.89 / $245.47
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $117.49 / $269.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $8,317.64 / $9,332.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $120.23 / $245.47