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New Hampshire rates for HCPCS 50684

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

Facilitymedian $1,820 · 10th–90th $200–$9,7720%10%20%10th90th$1,820Professionalmedian $120 · 10th–90th $52–$2690%5%10%10th90th$120$20.0$100.0$500.0$2.0K$10.0K

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
$199.53 / $1,819.70 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $112.20 / $204.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $128.82 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $125.89 / $346.74
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $3,388.44 / $7,413.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $144.54 / $309.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $3,388.44 / $7,413.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $147.91 / $331.13
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $12.02
Well Sense
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$165.96 / $165.96 / $165.96