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California 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
$938.83 / $4,981.39 / $16,713.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.75 / $849.51 / $1,314.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,143.00 / $5,863.00 / $11,400.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.56 / $567.14 / $2,030.64
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $6,848.26
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.25 / $617.85 / $1,626.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$745.75 / $881.34 / $2,076.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.83 / $726.10 / $2,037.15
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.53 / $710.35 / $1,065.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $601.72 / $1,387.42
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $787.27 / $1,330.15
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,700.94 / $5,191.20 / $6,103.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.12 / $752.15 / $1,346.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.77 / $745.70 / $1,992.35
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.41 / $528.41 / $2,503.55
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.13 / $768.64 / $1,065.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,523.00 / $7,384.00 / $16,148.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.48 / $961.64 / $2,527.48