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Idaho 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
$144.66 / $1,152.80 / $1,618.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.93 / $121.57 / $968.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.81 / $103.62 / $708.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.31 / $456.21 / $968.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.33 / $629.79 / $763.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $608.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,231.43 / $1,594.64 / $2,085.51
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,672.58 / $2,391.96 / $3,227.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.79 / $100.33 / $776.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,620.00 / $4,150.00 / $4,441.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.11 / $441.65 / $791.06