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Tennessee rates for HCPCS 50557

Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.22 / $2,133.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.99 / $457.22 / $560.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,003.00 / $7,194.00 / $13,734.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.28 / $476.73 / $841.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.38 / $536.74 / $837.01
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,112.00 / $3,180.56 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,488.48 / $3,920.07 / $6,109.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,695.00 / $3,616.00 / $6,285.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.85 / $640.27 / $1,012.99