go back

New Mexico 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
$1,000.00 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.53 / $330.76 / $517.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,041.17 / $2,497.79 / $4,184.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.70 / $214.17 / $657.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.12 / $102.73 / $563.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $330.91 / $572.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.30 / $607.73 / $664.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.12 / $102.73 / $681.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,824.00 / $2,516.00 / $2,761.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.91 / $534.50 / $752.31