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Louisiana 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
$446.68 / $1,288.25 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $131.83 / $575.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $758.58 / $1,348.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $109.65 / $630.96
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $165.96 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $1,047.13 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $281.84 / $575.44