go back

South Carolina rates for HCPCS 50684

Inj Px Ureterography/Ureteropylography Cath

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.45 / $3,776.00 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.44 / $119.42 / $152.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.65 / $79.20 / $153.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $375.00 / $375.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.39 / $119.72 / $320.33
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.01 / $179.09 / $740.00
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$115.50 / $374.28 / $1,110.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.52 / $459.52 / $459.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.95 / $140.97 / $212.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.00 / $1,221.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.96 / $170.01 / $332.43