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New York 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
$294.35 / $3,414.00 / $8,521.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,393.00 / $4,120.00 / $8,836.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.20 / $1,254.00 / $4,050.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.98 / $341.98 / $13,296.25
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.36 / $291.24 / $504.07
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,834.04 / $10,188.79 / $11,103.77
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.98 / $555.00 / $13,296.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,735.00 / $11,176.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.07 / $258.07 / $619.55