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Mississippi 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
$680.00 / $1,213.16 / $2,825.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,790.06 / $1,790.06 / $1,790.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,712.45 / $1,712.45 / $1,712.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $2,913.00 / $8,411.00