go back

Tennessee rates for HCPCS 50125

Pyelotomy; with drainage, pyelostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,691.53 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,122.02 / $1,862.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,290.87 / $4,365.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,479.11 / $2,398.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,318.26 / $1,995.26
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $8,912.51 / $8,912.51
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,079.46 / $8,128.31 / $8,128.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,630.27 / $4,786.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,348.96 / $2,089.30