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Ohio 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
$114.92 / $2,292.00 / $9,516.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.70 / $102.16 / $165.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $91.80 / $182.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.36 / $82.54 / $98.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.56 / $118.66 / $134.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.01 / $118.90 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.54 / $118.66 / $228.93
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.01 / $115.01 / $118.90
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.63 / $118.66 / $214.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.29 / $110.13 / $153.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.00 / $1,009.00 / $3,218.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.42 / $144.34 / $316.27