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Montana rates for HCPCS 50684

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

Facilitymedian $141 · 10th–90th $78–$2450%20%10th90th$141Professionalmedian $126 · 10th–90th $50–$2880%10%10th90th$126$20.0$50.0$100.0$200.0$500.0$1.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $125.89 / $316.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $199.53
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $158.49 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $134.90 / $288.40
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $165.96 / $223.87
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $165.96 / $223.87
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $128.82 / $323.59
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $131.83 / $346.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $162.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $125.89 / $245.47