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Alaska rates for HCPCS 50389

Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent)

Facilitymedian $437 · 10th–90th $62$4,6770%5%10%10th90th$437Professionalmedian $309 · 10th–90th $51$1,1750%10%10th90th$309$50.0$200.0$1.0K$5.0K

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
$165.96 / $5,888.44 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $234.42 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $190.55 / $660.69
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $363.08 / $1,737.80
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $446.68 / $2,454.71
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $1,659.59 / $1,949.84
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $363.08 / $1,737.80
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $114.82 / $912.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $380.19 / $1,348.96