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Arizona rates for HCPCS 50386

Removal (via snare/capture) 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
$1,170.00 / $2,753.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.09 / $677.87 / $1,224.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,640.88 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.97 / $411.39 / $673.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,087.52 / $1,087.52 / $1,087.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.76 / $646.23 / $1,288.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.30 / $745.66 / $3,612.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.63 / $967.07 / $5,505.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,343.00 / $3,339.00 / $5,838.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.84 / $823.30 / $1,482.37