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Louisiana 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
$297.00 / $1,300.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.76 / $120.17 / $128.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,173.96 / $2,180.42 / $4,257.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.86 / $107.87 / $139.41
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,579.06 / $1,579.06 / $1,579.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.50 / $108.49 / $136.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.00 / $1,429.00 / $4,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.33 / $100.09 / $160.03