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Mississippi 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
$58.88 / $562.34 / $1,995.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $177.83 / $630.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $1,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $323.59 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $128.82 / $645.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $977.24 / $1,862.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $316.23 / $794.33