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Nebraska 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
$2,166.29 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.45 / $71.45 / $414.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,896.99 / $5,281.43 / $9,914.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.20 / $117.95 / $157.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.22 / $179.23 / $237.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.34 / $137.75 / $5,444.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.14 / $180.79 / $655.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.22 / $200.43 / $1,813.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.00 / $171.02 / $233.60
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $123.90 / $193.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $3,726.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.89 / $174.59 / $219.32