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Arkansas rates for HCPCS 50688

Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.61 / $1,064.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.59 / $105.61 / $120.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,886.47 / $1,886.47 / $2,263.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.84 / $103.02 / $103.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,544.97 / $1,544.97 / $1,544.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.00 / $132.83 / $172.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.00 / $1,230.00 / $2,558.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.33 / $100.18 / $161.84