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Rhode Island rates for HCPCS 50684

Inj Px Ureterography/Ureteropylography Cath

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.91 / $95.12 / $205.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.58 / $264.63 / $298.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.81 / $124.47 / $207.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.71 / $106.16 / $247.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,401.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.90 / $200.91 / $576.13