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Kansas 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
$165.96 / $3,630.78 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $112.20 / $190.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $295.12 / $467.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $117.49 / $269.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $169.82 / $707.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $245.47 / $3,388.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $537.03 / $1,905.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $112.20 / $245.47