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Oklahoma rates for HCPCS 50389

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

Facilitymedian $501 · 10th–90th $115–$4,4670%10%10th90th$501Professionalmedian $331 · 10th–90th $55–$5890%20%10th90th$331$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$398.11 / $2,187.76 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $331.13 / $588.84
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $154.88 / $218.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $524.81 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $87.10 / $501.19
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $489.78 / $2,691.53
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $446.68 / $3,019.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $1,202.26 / $2,290.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $165.96 / $512.86