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West 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
$50.22 / $413.94 / $1,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.22 / $61.28 / $385.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.63 / $63.12 / $68.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.14 / $61.14 / $61.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.80 / $90.80 / $90.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.13 / $246.35 / $764.69
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,109.90 / $3,109.90 / $7,701.10
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,566.60 / $1,566.60 / $1,566.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$690.00 / $690.00 / $690.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.06 / $388.21 / $741.61