go back

Nebraska 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
$3,836.14 / $8,042.03 / $19,276.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,732.29 / $13,189.77 / $24,760.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.23 / $1,400.12 / $5,105.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.57 / $2,074.23 / $3,206.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00