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Oregon rates for HCPCS 50684

Inj Px Ureterography/Ureteropylography Cath

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.39 / $4,684.68 / $8,728.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.08 / $130.72 / $266.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.08 / $85.08 / $85.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.61 / $143.81 / $343.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.72 / $133.72 / $310.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.80 / $139.81 / $321.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.05 / $181.17 / $348.48
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.74 / $218.88 / $256.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.80 / $151.37 / $327.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.81 / $165.62 / $338.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.25 / $172.83 / $328.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.00 / $3,290.00 / $6,216.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.89 / $223.19 / $390.37