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Oklahoma 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
$501.19 / $2,398.83 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $109.65 / $177.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $630.96 / $851.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $109.65 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $107.15 / $190.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $141.25 / $1,548.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $131.83 / $3,548.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $630.96 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $97.72 / $151.36