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Oklahoma 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
$475.91 / $2,444.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.83 / $416.53 / $475.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.49 / $149.83 / $217.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.12 / $523.78 / $534.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.26 / $86.65 / $501.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.86 / $467.91 / $2,038.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.20 / $576.15 / $3,009.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.00 / $1,327.00 / $2,417.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.64 / $428.14 / $678.24