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Tennessee rates for HCPCS 50540

Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,821.00 / $3,143.59 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,106.05 / $1,409.68 / $1,528.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.00 / $2,326.00 / $5,065.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.19 / $1,437.88 / $2,521.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.10 / $1,601.71 / $2,519.39
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $10,420.32 / $10,655.20
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,088.82 / $11,088.82 / $11,088.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $2,665.00 / $4,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.95 / $1,710.73 / $2,712.85