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Illinois 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
$512.86 / $2,344.23 / $8,511.38
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,495.41 / $15,488.17 / $15,488.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $4,786.30 / $6,025.60
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $1,348.96 / $1,949.84
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $4,365.16 / $9,332.54