go back

Kentucky 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
$60.26 / $1,000.00 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $112.20 / $173.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $10,715.19 / $11,220.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $97.72 / $371.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $63.10 / $81.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $63.10 / $74.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $85.11 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $144.54 / $3,548.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $33.11 / $38.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $602.56 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $104.71 / $269.15