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Wisconsin 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
$257.04 / $1,174.90 / $3,090.30
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$15,488.17 / $15,488.17 / $15,488.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,570.88 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,548.13 / $5,623.41
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $2,290.87 / $4,265.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $4,073.80 / $8,709.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $1,202.26 / $3,715.35
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $6,309.57 / $9,332.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11