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Rhode Island rates for HCPCS 50389

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

Facilitymedian $2,138 · 10th–90th $575–$3,9810%10%20%10th90th$2,138Professionalmedian $331 · 10th–90th $56–$5500%10%10th90th$331$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$575.44 / $2,137.96 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $331.13 / $537.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $275.42 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $123.03 / $794.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,995.26 / $4,786.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $281.84 / $676.08