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Oregon 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
$117.49 / $1,000.00 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $134.90 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $245.47 / $1,148.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $398.11 / $1,000.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $478.63 / $1,412.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $467.74 / $912.01
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $645.65 / $812.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $436.52 / $851.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $134.90 / $1,023.29
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,137.96 / $2,570.40
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,344.23 / $3,235.94 / $3,890.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $177.83 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,951.21 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $309.03 / $1,023.29