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Idaho 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

Facilitymedian $4,898 · 10th–90th $1,585–$11,7490%10%10th90th$4,898$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $4,466.84 / $5,495.41
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,801.89 / $9,120.11
BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,691.53 / $5,370.32 / $13,489.63
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $1,548.82 / $3,981.07
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $7,762.47 / $11,220.18
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$8,912.51 / $12,882.50 / $16,595.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $16,982.44 / $18,197.01