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Kansas 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
$125.89 / $2,511.89 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $234.42 / $660.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $48.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $309.03 / $630.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $478.63 / $1,737.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $537.03 / $3,019.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $794.33 / $2,570.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $302.00 / $588.84