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Arizona 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
$1,082.00 / $2,640.00 / $6,305.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.83 / $81.20 / $414.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,640.88 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.53 / $64.70 / $80.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,768.35 / $1,768.35 / $1,768.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.45 / $97.91 / $170.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.06 / $108.14 / $3,093.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.92 / $92.97 / $655.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,578.00 / $2,567.00 / $5,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.20 / $87.36 / $152.63