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Missouri 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
$851.00 / $2,832.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.54 / $87.54 / $323.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.75 / $101.08 / $148.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.81 / $124.73 / $298.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.06 / $149.38 / $12,000.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.92 / $140.34 / $655.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.00 / $2,332.00 / $3,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.84 / $108.61 / $200.08