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Wisconsin rates for HCPCS 50393

Intro Ureter Cath/Stnt Renal Pelvis Drg&/Njx

Facilitymedian $646 · 10th–90th $331–$1,0720%10%10th90th$646Professionalmedian $427 · 10th–90th $372–$1,4790%20%10th90th$427$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $645.65 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $426.58 / $549.54
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $331.13 / $446.68
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $331.13 / $446.68
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $1,479.11 / $1,479.11
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $6,606.93 / $6,606.93
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $1,479.11 / $1,479.11