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Missouri 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
$383.66 / $2,507.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.32 / $344.85 / $665.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.28 / $117.66 / $574.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.04 / $310.66 / $903.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $385.56 / $1,751.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.22 / $736.34 / $3,009.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $1,605.00 / $2,087.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.28 / $505.89 / $863.38