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Virginia 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
$75.86 / $831.76 / $5,888.44
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,047.13 / $1,230.27 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $257.04 / $549.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,570.40 / $2,951.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $239.88 / $645.65
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $85.11 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $154.88 / $707.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $489.78 / $1,174.90
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $758.58 / $1,000.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $371.54 / $741.31
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $74.13 / $3,311.31
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $549.54 / $3,311.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,137.96 / $3,981.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $158.49 / $741.31