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Texas rates for HCPCS 50389

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

Facilitymedian $1,380 · 10th–90th $372–$5,6230%5%10th90th$1,380Professionalmedian $245 · 10th–90th $51–$6030%10%20%10th90th$245$10.0$50.0$200.0$1.0K$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
$524.81 / $2,187.76 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $165.96 / $575.44
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $54.95 / $398.11
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $912.01 / $1,949.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $302.00 / $562.34
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $630.96 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $131.83 / $630.96
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $1,737.80
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,311.31 / $3,311.31
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $501.19 / $3,715.35
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $331.13 / $707.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $43.65
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $676.08 / $1,202.26
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $363.08 / $724.44
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $131.83 / $645.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $1,445.44 / $3,548.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $229.09 / $562.34
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $398.11 / $398.11