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Wyoming rates for HCPCS 50389

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $141.25 / $1,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $154.88 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $125.89 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $794.33 / $3,235.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $489.78 / $1,148.15