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Louisiana rates for HCPCS 50389

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

Facilitymedian $1,175 · 10th–90th $447–$3,4670%5%10%10th90th$1,175Professionalmedian $141 · 10th–90th $52–$5890%10%10th90th$141$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
$446.68 / $1,288.25 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $131.83 / $588.84
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $776.25 / $1,348.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $109.65 / $630.96
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $630.96 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $165.96 / $588.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $1,096.48 / $2,238.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $275.42 / $588.84