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Tennessee rates for HCPCS 50120

Pyelotomy; with exploration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,821.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.60 / $1,166.94 / $1,265.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.00 / $2,302.00 / $4,147.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.07 / $1,190.27 / $2,100.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.58 / $1,326.35 / $2,086.56
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $8,649.92 / $8,841.04
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,127.82 / $7,127.82 / $7,882.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $2,665.00 / $4,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.71 / $1,415.12 / $2,100.52