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Rhode Island rates for HCPCS 50690

Njx Visualization Ileal Conduit&/Ureteropyelog

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.64 / $95.53 / $135.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.07 / $248.98 / $304.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.99 / $146.24 / $193.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.99 / $144.66 / $229.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,401.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.52 / $155.72 / $600.19