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Massachusetts rates for HCPCS 50684

Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter

Facilitymedian $1,479 · 10th–90th $58$3,7150%10%10th90th$1,479Professionalmedian $123 · 10th–90th $50$3090%10%10th90th$123$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $2,238.72 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $117.49 / $275.42
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $1,000.00 / $4,365.16
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $138.04 / $3,548.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $128.82 / $331.13
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $58.88 / $1,995.26
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $151.36 / $263.03
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $2,041.74 / $3,467.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $131.83 / $323.59
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $1,000.00 / $4,365.16
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $138.04 / $3,548.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $1,819.70 / $2,818.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $138.04 / $354.81