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Missouri rates for HCPCS 50435

Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.98 / $2,598.00 / $7,843.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,232.00 / $5,283.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.60 / $238.21 / $703.62
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$248.43 / $303.73 / $357.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.49 / $354.69 / $823.80
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$149.22 / $532.04 / $1,235.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.04 / $345.57 / $1,025.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.66 / $583.41 / $1,751.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.52 / $990.46 / $4,336.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $1,729.00 / $2,664.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.79 / $725.13 / $1,283.17