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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
$690.00 / $3,324.00 / $7,780.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,135.70 / $5,135.70 / $5,135.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,302.10 / $5,160.00 / $10,536.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.96 / $2,090.96 / $2,218.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,637.00 / $5,735.00 / $9,622.00