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Iowa rates for HCPCS 50690

Njx Visualization Ileal Conduit&/Ureteropyelog

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,218.00 / $3,576.15 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.34 / $102.29 / $175.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.47 / $198.67 / $362.80
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $156.51 / $282.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.60 / $202.31 / $1,055.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.74 / $249.55 / $3,576.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.60 / $213.86 / $293.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.60 / $196.58 / $315.86
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $155.00 / $264.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,026.00 / $1,623.00 / $2,126.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.43 / $192.83 / $335.69
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.40 / $165.70 / $266.50