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Idaho 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
$1,412.54 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $117.49 / $208.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $371.54 / $562.34
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$302.00 / $562.34 / $831.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $186.21 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $120.23 / $229.09
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $416.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $128.82 / $346.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $131.83 / $281.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $51.29 / $81.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $104.71 / $245.47
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $117.49 / $281.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $8,317.64 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $120.23 / $239.88