# CPT 50387: Removal/replacement of externally accessible nephroureteral catheter

Medicare CPT 50387 pays $519.72 in a non-facility setting and $71.81 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $452.31 in Arkansas to $604.73 in District of Columbia, a 34% spread.

Web page: https://www.med-reveal.com/rates/50387-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $519.72 |
| National facility | $71.81 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $604.73 | $77.10 |
| California | $602.48 | $72.48 |
| Washington | $584.06 | $73.44 |
| New Jersey | $580.67 | $76.33 |
| Hawaii | $579.55 | $70.28 |
| New York | $577.45 | $77.77 |
| Massachusetts | $576.70 | $73.48 |
| Alaska | $575.08 | $98.06 |
| Connecticut | $557.32 | $74.93 |
| Colorado | $548.21 | $71.64 |
| Oregon | $542.83 | $70.96 |
| Maryland | $540.34 | $73.40 |
| New Hampshire | $537.63 | $71.36 |
| Rhode Island | $535.17 | $72.49 |
| Minnesota | $528.48 | $67.59 |
| Florida | $527.25 | $77.85 |
| Puerto Rico | $524.64 | $71.81 |
| Virgin Islands | $524.64 | $71.81 |
| Montana | $519.71 | $71.80 |
| Nevada | $519.11 | $70.76 |
| Wyoming | $518.07 | $70.16 |
| North Dakota | $515.95 | $68.04 |
| South Dakota | $515.50 | $67.60 |
| Delaware | $513.89 | $71.36 |
| Texas | $512.51 | $71.55 |
| Vermont | $512.02 | $68.59 |
| Pennsylvania | $511.32 | $72.60 |
| Illinois | $510.30 | $77.51 |
| Virginia | $510.10 | $69.80 |
| Arizona | $504.66 | $70.64 |
| Georgia | $500.07 | $72.76 |
| Maine | $497.04 | $69.08 |
| Wisconsin | $496.16 | $67.07 |
| Michigan | $494.47 | $73.89 |
| Utah | $491.70 | $70.66 |
| North Carolina | $486.86 | $68.96 |
| South Carolina | $484.09 | $70.23 |
| Indiana | $483.15 | $67.94 |
| New Mexico | $483.12 | $72.39 |
| Missouri | $482.05 | $71.02 |
| Nebraska | $480.64 | $67.22 |
| Louisiana | $480.32 | $71.39 |
| Ohio | $480.07 | $71.14 |
| Idaho | $479.87 | $67.80 |
| Iowa | $477.11 | $67.28 |
| Tennessee | $475.26 | $68.11 |
| Kansas | $472.77 | $67.86 |
| Oklahoma | $469.48 | $69.50 |
| Kentucky | $468.53 | $70.35 |
| West Virginia | $462.68 | $73.45 |
| Alabama | $459.93 | $68.01 |
| Mississippi | $454.64 | $68.99 |
| Arkansas | $452.31 | $67.56 |

## Related codes

- 36901: Introduction of needle/catheter, dialysis circuit, imaging, diagnostic — https://www.med-reveal.com/rates/36901-cpt-fee-schedule
- 36902: Dialysis circuit, transluminal balloon angioplasty — https://www.med-reveal.com/rates/36902-cpt-fee-schedule
- 36905: Dialysis circuit, transluminal balloon angioplasty and thrombectomy — https://www.med-reveal.com/rates/36905-cpt-fee-schedule
- 37184: Primary percutaneous transluminal mechanical thrombectomy, non-coronary, initial vessel — https://www.med-reveal.com/rates/37184-cpt-fee-schedule
- 37191: Insertion of intravascular vena cava filter — https://www.med-reveal.com/rates/37191-cpt-fee-schedule
- 37193: Retrieval of intravascular vena cava filter, endovascular approach — https://www.med-reveal.com/rates/37193-cpt-fee-schedule
- 37211: Transcatheter thrombolytic infusion, arterial, initial treatment day — https://www.med-reveal.com/rates/37211-cpt-fee-schedule
- 37241: Vascular embolization/occlusion, venous — https://www.med-reveal.com/rates/37241-cpt-fee-schedule

Commercial negotiated rates for 50387 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules