go back

Wisconsin rates for HCPCS 50384

Removal Indwelling Ureteral Stent Prq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.68 / $900.80 / $3,044.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,288.84 / $2,674.70 / $4,314.18
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.68 / $835.27 / $1,666.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.30 / $1,632.58 / $8,384.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.68 / $835.27 / $1,666.55
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.12 / $942.79 / $2,914.37
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,809.92 / $1,809.92 / $1,809.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00