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Tennessee rates for HCPCS 50435

Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,949.84 / $4,073.80
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,165.95 / $7,079.46 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $245.47 / $912.01
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$144.54 / $812.83 / $2,398.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $114.82 / $223.87
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$128.82 / $138.04 / $1,778.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $2,951.21 / $3,801.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $316.23 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $316.23 / $851.14
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $5,495.41 / $5,495.41
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $4,786.30 / $4,786.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,479.11 / $2,884.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $416.87 / $954.99