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Minnesota 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
$190.55 / $1,023.29 / $7,585.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $6,918.31 / $15,848.93
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$8,128.31 / $14,454.40 / $37,153.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $3,715.35 / $8,912.51
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,548.13 / $7,079.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $1,548.82 / $8,912.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $6,760.83 / $10,715.19