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Indiana rates for HCPCS 50684

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

Facilitymedian $631 · 10th–90th $56–$5,6230%10%10th90th$631Professionalmedian $115 · 10th–90th $48–$2400%10%10th90th$115$50.0$100.0$200.0$500.0$1.0K$2.0K$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
$56.23 / $1,380.38 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $117.49 / $181.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $144.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $112.20 / $478.63
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $51.29 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $74.13 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $112.20 / $338.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $2,290.87 / $7,413.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $102.33 / $251.19