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Tennessee rates for HCPCS 50580

Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.76 / $2,303.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.76 / $745.28 / $897.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,734.00 / $4,657.00 / $8,456.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.27 / $760.18 / $1,364.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.32 / $857.47 / $1,327.49
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $14,302.50 / $14,302.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,359.92 / $4,459.84 / $4,957.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.00 / $2,297.00 / $4,326.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.74 / $903.00 / $1,371.50