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Iowa rates for HCPCS 50389

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

Facilitymedian $1,778 · 10th–90th $110–$5,4950%10%10th90th$1,778Professionalmedian $302 · 10th–90th $55–$8710%10%10th90th$302$10.0$50.0$200.0$1.0K$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
$104.71 / $2,238.72 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $234.42 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $147.91 / $1,202.26
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $467.74 / $691.83
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $812.83 / $3,235.94
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $660.69 / $1,778.28
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $794.33 / $1,122.02
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $177.83 / $1,148.15
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $660.69 / $1,202.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,819.70 / $5,128.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $331.13 / $977.24
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $120.23 / $891.25