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Arizona rates for HCPCS 50690

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

Facilitymedian $1,738 · 10th–90th $102–$5,6230%5%10%10th90th$1,738Professionalmedian $110 · 10th–90th $66–$2400%10%10th90th$110$20.0$100.0$500.0$2.0K

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
$1,445.44 / $3,090.30 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $109.65 / $229.09
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $269.15 / $501.19
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $97.72 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $109.65 / $223.87
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $123.03 / $1,047.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $162.18 / $3,548.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $1,047.13 / $2,137.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $102.33 / $173.78