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North Dakota 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
$70.86 / $109.47 / $2,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.89 / $97.90 / $121.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.74 / $196.85 / $299.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.90 / $118.90 / $118.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.58 / $174.13 / $340.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.12 / $157.22 / $299.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.52 / $251.85 / $3,576.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.53 / $189.58 / $286.08