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Texas rates for HCPCS 50387

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

Facilitymedian $2,239 · 10th–90th $490–$6,3100%5%10th90th$2,239$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$630.96 / $2,511.89 / $7,585.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,884.03 / $5,495.41
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $2,089.30 / $4,073.80
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,380.38 / $1,380.38
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $5,623.41
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $676.08 / $3,715.35
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $512.86 / $1,096.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $2,041.74 / $4,073.80