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Iowa 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
$3,468.00 / $4,917.20 / $8,042.03
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.20 / $1,398.23 / $2,618.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.41 / $2,334.78 / $8,857.49
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.42 / $2,482.96 / $3,212.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,091.00 / $10,320.00