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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
$407.38 / $2,398.83 / $7,413.10
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,884.03 / $5,248.07 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $269.15 / $954.99
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$162.18 / $302.00 / $707.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $85.11 / $104.71
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$117.49 / $169.82 / $239.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,819.70 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $354.81 / $812.83
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$147.91 / $537.03 / $1,230.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $524.81 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $354.81 / $977.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $691.83 / $1,949.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $870.96 / $4,365.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,380.38 / $2,344.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $457.09 / $1,000.00