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South Carolina 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
$501.19 / $4,265.80 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $234.42 / $630.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,513.56 / $2,884.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $81.28 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $151.36 / $660.69
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $309.03 / $758.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $3,890.45 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $245.47 / $707.95