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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
$389.05 / $3,801.89 / $6,760.83
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $1,584.89 / $3,019.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $2,691.53 / $9,332.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $1,995.26 / $3,090.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $7,762.47 / $10,715.19