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Louisiana rates for HCPCS 50690

Njx Visualization Ileal Conduit&/Ureteropyelog

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.27 / $1,273.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.56 / $116.54 / $180.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.61 / $399.00 / $850.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.56 / $136.04 / $189.85
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $61.00 / $61.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.63 / $102.63 / $102.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.93 / $123.35 / $183.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.00 / $580.00 / $1,506.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.18 / $128.25 / $258.52