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Alaska rates for HCPCS 50389

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,094.96 / $6,541.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.53 / $344.85 / $1,731.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $190.55 / $1,112.51
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.09 / $365.57 / $2,424.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.33 / $444.54 / $2,478.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.60 / $347.88 / $2,056.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.09 / $365.57 / $2,424.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.44 / $399.35 / $2,015.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.00 / $890.00 / $2,225.00