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Oregon 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 $2,512 · 10th–90th $692–$13,1830%20%10th90th$2,512Professionalmedian $1,259 · 10th–90th $562–$3,1620%20%10th90th$1,259$500.0$2.0K$10.0K$50.0K$200.0K$1.0M

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
$691.83 / $3,235.94 / $13,182.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $1,258.93 / $3,162.28
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $1,380.38 / $3,467.37
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,511.89 / $2,691.53
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $1,348.96 / $3,090.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $11,220.18 / $13,803.84
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$12,882.50 / $16,595.87 / $20,892.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $13,182.57 / $25,118.86