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Nationwide rates for HCPCS 50695

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, with separate nephrostomy catheter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $3,981.07 / $10,715.19
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,570.88 / $5,128.61 / $6,165.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,897.79 / $13,489.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $2,884.03 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $5,623.41 / $12,302.69