go back

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
$54.81 / $134.37 / $382.27
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.04 / $51.04 / $58.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.39 / $42.39 / $42.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.54 / $116.96 / $277.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.04 / $161.94 / $222.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.11 / $171.70 / $331.34
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.23 / $105.84 / $183.07