go back

Indiana 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
$56.23 / $1,380.38 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $114.82 / $181.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $144.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $109.65 / $478.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $51.29 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $141.25 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $114.82 / $338.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,238.72 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $102.33 / $251.19