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Pennsylvania 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
$490.00 / $2,045.90 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.78 / $671.59 / $1,024.01
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.69 / $3,159.00 / $14,886.03
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.54 / $895.27 / $1,331.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.05 / $453.52 / $1,349.76
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.43 / $1,133.23 / $1,173.80
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,326.97 / $4,326.97 / $4,326.97
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $2,326.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.24 / $680.54 / $1,330.45
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $966.00 / $2,113.69
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.66 / $453.52 / $1,349.82
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.46 / $495.96 / $761.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.46 / $708.78 / $784.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.07 / $920.16 / $1,451.22