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Washington, DC rates for HCPCS 50389

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

Facilitymedian $1,622 · 10th–90th $123–$4,0740%10%10th90th$1,622Professionalmedian $178 · 10th–90th $55–$6170%10%10th90th$178$50.0$100.0$200.0$500.0$1.0K$2.0K$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
$123.03 / $1,621.81 / $4,073.80
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$891.25 / $891.25 / $891.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $173.78 / $616.60
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $1,202.26 / $4,897.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $173.78 / $1,288.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $457.09 / $977.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $1,737.80 / $5,128.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $331.13 / $1,000.00