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Tennessee 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
$694.00 / $2,678.00 / $6,681.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,917.00 / $3,688.00 / $5,878.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,081.44 / $2,122.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,259.00 / $4,567.00 / $7,669.00