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North Carolina 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
$67.34 / $149.09 / $5,449.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.34 / $110.64 / $199.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.10 / $194.02 / $393.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.90 / $118.90 / $118.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.37 / $140.33 / $290.77
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.00 / $137.82 / $649.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $125.00 / $431.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.80 / $175.60 / $545.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.00 / $874.00 / $2,074.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.28 / $147.77 / $319.93
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $736.69 / $1,055.95
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.05 / $2,133.71 / $3,694.98