go back

New York rates for HCPCS 50387

Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.50 / $2,727.52 / $7,735.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,393.00 / $4,120.00 / $8,836.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.48 / $117.48 / $6,213.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.56 / $140.56 / $4,612.43
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.00 / $136.82 / $332.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,965.06 / $2,965.06 / $3,009.16
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.56 / $555.00 / $4,612.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,768.94 / $4,331.00 / $8,133.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.46 / $105.46 / $363.80