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Idaho 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
$549.54 / $5,495.41 / $8,912.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $3,548.13 / $9,120.11
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,691.53 / $5,128.61 / $13,489.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $1,445.44 / $6,606.93
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $7,762.47 / $11,220.18
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$8,912.51 / $12,882.50 / $16,595.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $16,982.44 / $18,197.01