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Florida 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
$851.14 / $3,388.44 / $10,471.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $1,621.81 / $1,698.24
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $12,022.64 / $22,908.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $7,585.78 / $12,022.64