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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
$630.96 / $2,511.89 / $7,585.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $2,818.38 / $5,495.41
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,380.38
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $5,495.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $1,000.00 / $3,981.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $741.31 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $1,819.70 / $4,168.69