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Oklahoma 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
$625.00 / $2,536.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.17 / $86.16 / $137.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.95 / $100.26 / $161.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.41 / $61.41 / $67.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.88 / $83.27 / $185.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.33 / $142.76 / $871.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.87 / $211.91 / $3,402.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $610.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.46 / $136.06 / $270.23