search again

Nationwide rates for HCPCS 50694

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; new access, without separate nephrostomy catheter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.00 / $3,294.00 / $7,996.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,302.10 / $5,160.00 / $10,536.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.96 / $2,090.96 / $2,218.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,637.00 / $5,735.00 / $9,622.00