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CPT 50684 Fee Schedule

Last Verified: November 2025

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Injection Procedure For Ureterography Or Ureteropyelography Through Ureterostomy Or Indwelling Ureteral Cathet
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Urinary System

Common Place of Service

22 - On Campus Outpatient Hospital

21 - Inpatient Hospital

11 - Office

Common Modifiers

None

59 - Distinct Procedural Service

RT - Right side of body

Complexity LevelLow
CMS$120.98 Physician Fee Schedule

National average reimbursement for CPT 50684 by major payers:

bcbs

$174.72

uhc

$191.06

aetna

$184.82

cigna

$213.07

Preview provider-level rates for...
For billing codeCPT 50684
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 50684

United
50684$574.001841316841 - PACIFIC ENDOSCOPY CENTER, LLC203905706 - (HI) PACIFIC ENDOSCOPY CENTER, LLCHIAmbulatory Surgical Clinic/Center (261QA1903X)
United
50684$76.001033223367 - SOUTHEASTERN OUTPATIENT SURGERY CENTER LLC201379958 - (FL) SOUTHEASTERN OUTPATIENT SURGERY CENTER LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
50684$123.001851678981 - RIDGECREST SPECIALTY SURGERY CENTER, A PROFESSIONAL CORPORATION453602999 - (CA) RIDGECREST SPECIALTY SURGERY CENTER A PROFESSIONAL CORPORATIONCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
50684$551.001023182086 - EAST TEXAS MEDICAL CENTER CARTHAGE, ETMC CARTHAGE824005981TXAmbulatory Surgical Clinic/Center (261QA1903X)
United
50684$104.001508813627 - FOUR STATES SURGERY CENTER, PC, FOUR STATES SURGERY CENTER,201498725 - (MO) FOUR STATES SURGERY CENTER, PCMOAmbulatory Surgical Clinic/Center (261QA1903X)
United
50684$150.001023153160 - INNOVIA SURGERY CENTER, LLC, ADVANTAGE HEALTHCARE364167589 - (IL) INNOVIA SURGERY CENTER LLCILAmbulatory Surgical Clinic/Center (261QA1903X)
United
50684$500.001871774174 - SURGICAL EYE EXPERTS, LLC, SURGICAL EYE EXPERTS OF NEW ENGLAND, LLC651321064 - (MA) SURGICAL EYE EXPERTS LLCMAAmbulatory Surgical Clinic/Center (261QA1903X)
United
50684$179.001326091513 - PAIN TREATMENT CENTERS OF MICHIGAN LLC, MATRIX SURGERY CENTER770623438 - (MI) PAIN TREATMENT CENTERS OF MICHIGAN LLCMIAmbulatory Surgical Clinic/Center (261QA1903X)
United
50684$100.001679521389 - WESLEY & KLIPPENSTEIN, PC, WESLEY OPHTHALMIC PLASTIC SURGERY CENTER621799761 - (TN) WESLEY & KLIPPENSTEIN, P.C.TNAmbulatory Surgical Clinic/Center (261QA1903X)
United
50684$750.001396120168 - STAMFORD ASC LLC465569848 - (CT) STAMFORD ASC LLCCTAmbulatory Surgical Clinic/Center (261QA1903X)
United
50684$566.001801146535 - SURGCENTER AT PARADISE VALLEY, LLC, SURGCENTER AT PIMA CROSSING455364868 - (AZ) SURGCENTER AT PARADISE VALLEYAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
50684$557.001679523351 - SURGERY CENTER OF PORT CHARLOTTE LTD201327093 - (FL) SURGERY CENTER OF PORT CHARLOTTE LTDFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
50684$150.001679570774 - NOVAMED SURGERY CENTER OF MADISON, LIMITED PARTNERSHIP201915800 - (WI) NOVAMED SURGERY CENTER OF MADISON LIMITED PARTNERSHIPWIAmbulatory Surgical Clinic/Center (261QA1903X)
United
50684$135.001750582797 - BAY AREA LASER SURGERY CENTER, A MEDICAL CORPORATION208712646 - (CA) BAY AREA LASER SURGERY CENTER A MEDICAL CORPORATIONCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
50684$190.001962953018 - THE SURGERY CENTER AT TGH BRANDON HEALTHPLEX LLC611795393 - (FL) THE SURGERY CENTER AT TGH BRANDON HEALTHPLEX LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 50684 vs. Other Surgical Procedures on the Urinary System Codes

The CPT 50684 code is part of the Surgery services used for Surgical Procedures on the Urinary System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 50684 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
50650-CPTHighUreterectomy, With Bladder Cuff
50660-CPTHighUreterectomy Total Ectopic
50684-CPTLowInjection Procedure For Ureterography Or Ureteropyelography Through Ureterostomy Or Indwelling Ureteral Cathet
50686-CPTLowStudies Manometric Ureter

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 50684. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 50684 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules


Medicare & Medicaid Rates

Government-set reimbursement amounts


Private Insurance Rates

Negotiated rates between providers and insurance companies


Geographic Location

Costs may be higher in urban areas.


Provider Type

Hospital providers may have different rates than private practice.

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