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South Carolina rates for HCPCS 50433

Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.02 / $2,789.14 / $9,727.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.00 / $2,664.00 / $8,385.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,106.17 / $2,106.17 / $2,706.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.02 / $1,316.43 / $1,981.14
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$673.59 / $2,245.73 / $2,971.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.00 / $10,257.00 / $16,249.00