go back

North Dakota 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
$50.12 / $426.58 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $114.82 / $467.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $134.90 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $338.84 / $1,096.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $380.19 / $1,148.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $537.03 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,344.23 / $2,570.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $323.59 / $831.76