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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
$621.00 / $4,245.00 / $11,576.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $1,649.96 / $1,964.23
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,571.00 / $12,685.00 / $23,031.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,637.00 / $8,136.00 / $12,748.00