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Tennessee rates for HCPCS 50520

Closure of nephrocutaneous or pyelocutaneous fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.00 / $2,303.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.83 / $1,396.65 / $1,514.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $2,264.00 / $4,015.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.88 / $1,332.19 / $2,374.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.42 / $1,538.06 / $2,502.17
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $9,172.79 / $9,378.67
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,207.92 / $8,389.36 / $10,031.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.00 / $1,456.00 / $2,886.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.68 / $1,535.87 / $2,584.67