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Tennessee rates for HCPCS 50434

Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, via pre-existing nephrostomy tract

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $2,290.87 / $4,073.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $2,951.21 / $3,801.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,258.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $5,495.41 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,479.11 / $2,884.03