go back

Missouri rates for HCPCS 50389

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

Facilitymedian $2,951 · 10th–90th $479–$7,0790%10%10th90th$2,951Professionalmedian $234 · 10th–90th $51–$7080%10%10th90th$234$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
$380.19 / $2,398.83 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $208.93 / $758.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $4,570.88 / $8,317.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $120.23 / $562.34
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $363.08 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $141.25 / $691.83
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $407.38 / $1,819.70
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $645.65 / $3,019.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $1,047.13 / $2,041.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $316.23 / $645.65