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Nebraska 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
$1,506.15 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.54 / $102.29 / $372.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.78 / $448.29 / $841.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.06 / $129.16 / $222.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.49 / $213.86 / $293.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.81 / $188.01 / $1,055.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.60 / $232.56 / $3,576.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.60 / $221.12 / $293.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.60 / $198.98 / $293.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.60 / $231.01 / $287.36