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South Carolina rates for HCPCS 50389

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

Facilitymedian $1,820 · 10th–90th $151–$9,1200%10%10th90th$1,820Professionalmedian $331 · 10th–90th $52–$7760%10%10th90th$331$50.0$200.0$1.0K$5.0K$20.0K

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
$501.19 / $4,265.80 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $331.13 / $776.25
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $1,513.56 / $2,884.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $81.28 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $151.36 / $707.95
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $309.03 / $758.58
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $3,388.44 / $7,762.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $245.47 / $691.83