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Idaho 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
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.93 / $101.08 / $174.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.43 / $131.51 / $146.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.97 / $156.21 / $184.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.42 / $133.02 / $152.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $109.60 / $137.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,338.69 / $4,962.96 / $6,186.02
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.16 / $118.16 / $144.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,450.00 / $6,124.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.84 / $115.64 / $165.76