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Kansas 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
$135.72 / $3,232.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.23 / $111.68 / $191.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.57 / $172.57 / $257.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.58 / $124.57 / $211.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.81 / $139.44 / $458.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.52 / $164.82 / $3,576.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.00 / $550.00 / $1,769.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.52 / $129.41 / $200.86