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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
$1,440.00 / $3,133.00 / $9,872.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,434.00 / $5,126.00 / $9,729.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.80 / $900.48 / $1,669.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.45 / $734.01 / $1,678.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,527.00 / $8,586.00 / $15,893.00