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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
$236.43 / $3,158.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.52 / $118.25 / $202.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.00 / $309.29 / $651.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.81 / $104.81 / $255.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.95 / $113.97 / $284.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.67 / $165.79 / $516.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.54 / $256.18 / $3,402.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.00 / $550.00 / $1,769.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.54 / $170.79 / $276.92