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Wyoming rates for HCPCS 50684

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.00 / $112.51 / $190.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $149.00 / $313.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.65 / $137.38 / $257.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.04 / $232.64 / $532.39