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New Jersey 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
$69.70 / $4,049.00 / $6,922.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.57 / $262.85 / $484.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.41 / $173.36 / $899.66
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.39 / $598.75 / $736.23
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,352.79 / $1,487.22 / $3,094.73
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.38 / $348.91 / $593.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $3,403.00 / $5,864.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.99 / $414.04 / $908.92