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Colorado 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
$1,440.00 / $3,149.00 / $10,651.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,427.00 / $7,478.00 / $13,989.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.76 / $1,012.03 / $1,870.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.49 / $957.63 / $1,878.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,527.00 / $8,586.00 / $15,893.00