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Washington 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

Facilitymedian $2,570 · 10th–90th $372–$14,7910%5%10th90th$2,570$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $3,388.44 / $18,620.87
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$10,000.00 / $12,022.64 / $13,182.57
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $9,332.54 / $19,054.61
Asuris Northwest Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$8,912.51 / $13,803.84 / $28,183.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,344.23 / $3,890.45
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $1,621.81 / $4,073.80
Kaiser Permanente
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$8,128.31 / $12,882.50 / $25,118.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,862.09 / $1,995.26
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,380.38 / $1,380.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $9,549.93 / $19,054.61
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$9,772.37 / $14,454.40 / $28,183.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $10,964.78 / $19,952.62