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Tennessee rates for HCPCS 50430

Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.00 / $2,179.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.00 / $1,491.00 / $2,257.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.85 / $574.21 / $3,321.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,121.25 / $1,121.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.00 / $1,563.00 / $2,886.00