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Arkansas 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
$75.86 / $794.33 / $1,862.09
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$288.40 / $288.40 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $177.83 / $489.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $75.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $870.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $70.79 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $104.71 / $707.95
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $912.01 / $2,089.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $288.40 / $616.60