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Tennessee rates for HCPCS 50125

Pyelotomy; with drainage, pyelostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,821.00 / $2,693.22 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.60 / $1,207.72 / $1,309.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.00 / $2,302.00 / $4,147.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.49 / $1,267.79 / $2,124.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.36 / $1,375.71 / $2,160.13
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $8,946.16 / $9,147.52
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,144.08 / $7,304.24 / $8,148.30
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
$955.71 / $1,496.26 / $2,241.33