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Colorado 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
$1,000.00 / $3,311.31 / $8,912.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $6,456.54 / $10,964.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $1,380.38 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $8,128.31 / $16,595.87