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Alabama 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
$870.96 / $1,445.44 / $2,238.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,786.30 / $6,456.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $3,630.78 / $5,128.61