go back

Tennessee rates for HCPCS 50525

Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,922.26 / $3,940.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,390.57 / $1,772.30 / $1,922.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.00 / $2,302.00 / $4,936.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.81 / $1,831.38 / $3,117.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,371.05 / $1,988.03 / $3,178.49
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $13,266.24 / $13,566.72
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,385.84 / $10,618.32 / $12,708.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.00 / $2,512.00 / $4,626.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,391.47 / $2,161.63 / $3,465.95