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Washington rates for HCPCS 50684

Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter

Facilitymedian $214 · 10th–90th $79–$7,9430%10%10th90th$214Professionalmedian $123 · 10th–90th $50–$2880%10%10th90th$123$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $524.81 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $114.82 / $275.42
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $158.49 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $138.04 / $363.08
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $128.82 / $295.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $125.89 / $281.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $223.87 / $263.03
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $173.78
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $173.78 / $316.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $158.49 / $275.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $724.44 / $5,754.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $131.83 / $302.00
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $97.72 / $186.21