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Florida 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
$260.31 / $2,815.00 / $10,632.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,125.50 / $2,125.50 / $2,125.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.34 / $234.91 / $461.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.55 / $315.54 / $374.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.17 / $142.60 / $600.59
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,104.00 / $3,151.00 / $7,224.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.35 / $272.35 / $532.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.19 / $435.63 / $596.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.00 / $2,671.00 / $4,971.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.43 / $429.59 / $723.50
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.34 / $87.89 / $87.89