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Arkansas rates for HCPCS 50690

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.44 / $1,000.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.56 / $97.90 / $138.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.01 / $102.96 / $156.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.61 / $129.96 / $220.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $337.00 / $858.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.02 / $141.35 / $488.00