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Alaska rates for HCPCS 50690

Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service

Facilitymedian $135 · 10th–90th $71–$3720%10%10th90th$135Professionalmedian $123 · 10th–90th $68–$3470%10%10th90th$123$50.0$200.0$1.0K$5.0K

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
$39.81 / $3,090.30 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $114.82 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $165.96 / $562.34
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $131.83 / $269.15
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $288.40 / $501.19
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $436.52 / $588.84
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $131.83 / $257.04
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $190.55 / $331.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $190.55 / $309.03