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Wyoming rates for HCPCS 50690

Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.11 / $102.07 / $157.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.00 / $203.00 / $291.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.69 / $131.72 / $228.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.16 / $215.23 / $339.79