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Michigan rates for HCPCS 50389

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

Facilitymedian $724 · 10th–90th $71–$4,8980%10%10th90th$724Professionalmedian $178 · 10th–90th $51–$6030%10%10th90th$178$20.0$100.0$500.0$2.0K$10.0K

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
$70.79 / $660.69 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $199.53 / $602.56
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $117.49 / $117.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $117.49 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $281.84 / $537.03
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $891.25 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $371.54 / $676.08
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $281.84 / $478.63
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $1,621.81 / $3,801.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $288.40 / $537.03