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Maryland rates for HCPCS 50684

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $120.23 / $275.42
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $54.95 / $63.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $42.66 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $112.20 / $281.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $151.36 / $204.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $181.97 / $575.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $112.20 / $257.04
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $147.91 / $208.93