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Washington rates for HCPCS 50684

Inj Px Ureterography/Ureteropylography Cath

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.82 / $288.25 / $14,464.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.47 / $121.71 / $278.70
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $700.88 / $700.88
Asuris Northwest Health
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$667.49 / $667.49 / $667.49
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.39 / $234.94 / $2,020.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.46 / $141.94 / $361.06
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.95 / $128.55 / $360.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.56 / $128.62 / $362.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $216.22 / $364.68
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.27 / $223.78 / $256.36
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.95 / $173.95 / $174.57
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.73 / $174.57 / $328.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.41 / $160.41 / $290.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.00 / $666.00 / $6,216.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.92 / $252.59 / $368.82
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.68 / $54.68 / $142.29