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Tennessee 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
$111.44 / $1,285.44 / $6,214.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.26 / $330.76 / $552.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.00 / $1,504.00 / $2,244.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.28 / $169.29 / $573.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.16 / $168.86 / $650.55
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $719.98 / $719.98
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,462.69 / $2,839.59 / $3,326.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.00 / $1,438.00 / $2,886.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.25 / $489.84 / $813.90