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Alaska 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
$812.83 / $10,715.19 / $14,125.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $1,258.93 / $4,786.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,778.28 / $6,606.93