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Iowa 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
$104.71 / $2,238.72 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $331.13 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $147.91 / $1,202.26
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $467.74 / $691.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $812.83 / $3,235.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $660.69 / $1,778.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $758.58 / $1,122.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $141.25 / $1,148.15
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $691.83 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $2,290.87 / $4,897.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $331.13 / $977.24
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $120.23 / $891.25