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Louisiana rates for HCPCS 50684

Inj Px Ureterography/Ureteropylography Cath

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.37 / $1,273.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.76 / $120.59 / $188.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.64 / $148.69 / $213.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.97 / $99.16 / $200.69
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $45.74 / $45.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.89 / $71.89 / $71.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.84 / $105.11 / $190.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.00 / $580.00 / $1,506.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.44 / $150.04 / $296.89