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Ohio 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
$149.85 / $2,306.00 / $10,268.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,112.00 / $3,087.00 / $3,087.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,145.00 / $2,786.00 / $8,800.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.65 / $93.18 / $145.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,725.00 / $2,721.00 / $5,235.00