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Delaware 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
$137.46 / $2,222.63 / $3,543.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.58 / $137.46 / $458.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.86 / $99.52 / $585.45
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$852.58 / $852.58 / $852.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $5,000.00 / $5,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.07 / $527.04 / $850.73