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Colorado 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
$1,084.00 / $3,133.00 / $8,568.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.32 / $172.31 / $589.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,974.00 / $2,971.00 / $7,022.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.03 / $238.32 / $806.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $148.94 / $748.13
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.38 / $399.37 / $668.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.15 / $192.36 / $702.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,164.00 / $2,011.00 / $3,651.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.80 / $559.53 / $964.50