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New Jersey 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
$256.47 / $5,644.00 / $9,842.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,147.00 / $13,134.00 / $13,134.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,385.14 / $8,385.14 / $17,029.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,378.00 / $8,305.00 / $14,121.00