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Tennessee rates for HCPCS 50572

Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.00 / $2,303.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.35 / $651.73 / $706.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.00 / $1,480.00 / $2,244.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.31 / $664.76 / $1,198.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.99 / $750.24 / $1,161.99
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $4,777.60 / $4,882.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,821.36 / $3,905.52 / $4,349.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.00 / $1,560.00 / $2,914.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.47 / $743.39 / $1,200.86