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New York 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
$72.89 / $2,643.18 / $9,038.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,557.00 / $19,240.07 / $19,240.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.53 / $136.03 / $645.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,691.00 / $3,333.00 / $4,636.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.02 / $311.52 / $854.48
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.45 / $75.45 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.45 / $75.45 / $598.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.80 / $90.80 / $3,479.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.46 / $212.12 / $1,038.92
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $88.00 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.59 / $526.52 / $789.24
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.97 / $472.06 / $731.48
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,677.17 / $1,677.17 / $2,148.89
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.80 / $555.00 / $3,479.91
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.09 / $438.96 / $1,063.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,694.00 / $3,146.00 / $5,253.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.40 / $481.38 / $1,261.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.88 / $67.88 / $200.67
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.24 / $474.82 / $811.93