go back

Missouri 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
$818.00 / $3,131.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.74 / $689.19 / $915.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.60 / $379.28 / $1,209.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.82 / $494.11 / $1,465.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.19 / $743.13 / $3,006.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.14 / $1,370.98 / $5,505.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.00 / $2,874.00 / $5,813.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.85 / $1,055.28 / $1,789.76