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Maryland 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
$150.84 / $263.75 / $403.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.41 / $102.07 / $175.40
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.11 / $70.23 / $80.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.98 / $63.98 / $63.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.41 / $120.98 / $277.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $141.41 / $198.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.67 / $126.05 / $236.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.19 / $97.50 / $170.22