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South Carolina 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
$246.85 / $6,279.12 / $13,335.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,432.58 / $2,705.00 / $8,112.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,106.17 / $2,106.17 / $2,706.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.85 / $1,197.21 / $1,802.82
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$538.04 / $2,086.41 / $2,651.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,798.00 / $19,665.00