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Tennessee rates for HCPCS 50576

Renal endoscopy through nephrotomy or pyelotomy, 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
$582.00 / $2,303.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.34 / $691.22 / $749.71
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
$524.26 / $705.05 / $1,270.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.35 / $796.04 / $1,232.14
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $27,110.45 / $27,110.45
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,049.52 / $4,139.04 / $4,608.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.00 / $2,298.00 / $4,330.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.97 / $772.16 / $1,329.77