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Texas rates for HCPCS 50434

Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, via pre-existing nephrostomy tract

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.00 / $2,080.00 / $6,762.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,364.09 / $2,781.33 / $5,668.96
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.59 / $164.59 / $164.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,377.85 / $1,377.85 / $1,377.85
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $1,596.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.91 / $683.17 / $1,531.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.91 / $749.02 / $1,880.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.00 / $1,529.00 / $3,400.00