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Louisiana 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
$519.00 / $1,850.00 / $3,884.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,305.33 / $6,396.29 / $10,442.62
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,613.51 / $2,613.51 / $2,613.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $8,257.00