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Delaware 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
$3,140.00 / $3,140.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.21 / $86.09 / $125.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.34 / $107.87 / $175.80
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.07 / $63.07 / $63.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.79 / $130.22 / $249.13