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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
$526.59 / $2,258.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,610.00 / $2,800.00 / $3,710.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,596.09 / $1,596.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.00 / $1,560.00 / $2,914.00