go back

Alaska rates for HCPCS 50693

Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; pre-existing nephrostomy tract

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,650.88 / $10,175.36 / $13,413.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.44 / $1,348.59 / $5,869.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.44 / $1,348.59 / $5,869.32