go back

Maryland 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
Professional
Modifier
Low / Median / High Price
$169.93 / $813.72 / $1,024.01
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.86 / $191.18 / $239.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.49 / $622.49 / $622.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.87 / $671.00 / $1,806.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.09 / $986.76 / $1,773.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.00 / $1,628.00 / $1,628.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.99 / $988.63 / $1,608.65
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.61 / $866.05 / $1,067.35