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Kentucky 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
$489.78 / $1,949.84 / $8,128.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $10,715.19 / $11,220.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $331.13 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $446.68 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $3,890.45 / $8,511.38