go back

Nebraska rates for HCPCS 50684

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $3,801.89 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $120.23 / $309.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $436.52 / $851.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $109.65 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $147.91 / $323.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $194.98 / $707.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $269.15 / $3,388.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $234.42 / $316.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $295.12 / $398.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,548.82 / $4,570.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $125.89 / $302.00