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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
$467.74 / $2,187.76 / $4,073.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,513.56 / $2,238.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $3,311.31
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $2,884.03 / $2,884.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,445.44 / $2,884.03