go back

Wisconsin rates for HCPCS 50385

Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $1,047.13 / $3,548.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,786.30 / $7,585.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $3,162.28 / $5,128.61
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $2,041.74 / $3,801.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $4,073.80 / $8,317.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $1,096.48 / $3,467.37
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11