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Georgia 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
$426.58 / $2,511.89 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $234.42 / $794.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $43.65 / $43.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $2,238.72 / $3,548.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $371.54 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $169.82 / $851.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $407.38 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $2,187.76 / $3,467.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $316.23 / $794.33