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California 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
$1,017.00 / $5,390.00 / $17,054.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.55 / $92.86 / $414.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,759.00 / $4,718.00 / $9,381.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.03 / $118.51 / $230.94
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $5,170.71
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.14 / $101.32 / $245.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,212.60 / $1,433.09 / $3,376.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.56 / $109.27 / $347.24
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.05 / $68.17 / $122.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.17 / $102.92 / $185.45
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.02 / $5,444.45 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.78 / $655.54 / $677.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.44 / $110.16 / $159.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.71 / $109.27 / $243.41
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.14 / $257.14 / $257.14
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.05 / $64.87 / $100.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,943.00 / $4,060.00 / $9,131.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.67 / $97.28 / $273.58