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Nebraska rates for HCPCS 50389

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

Facilitymedian $2,188 · 10th–90th $110–$8,5110%10%10th90th$2,188Professionalmedian $275 · 10th–90th $52–$1,0230%5%10%10th90th$275$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$109.65 / $2,187.76 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $275.42 / $1,023.29
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,951.21 / $5,754.40
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $331.13 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $147.91 / $933.25
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $588.84 / $1,778.28
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $724.44 / $1,513.56
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $758.58 / $954.99
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $114.82 / $870.96
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $676.08 / $1,202.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $1,548.82 / $5,248.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $446.68 / $912.01