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Tennessee rates for HCPCS 50620

Ureterolithotomy; middle one-third of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.98 / $3,329.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.69 / $1,110.98 / $1,204.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,815.00 / $8,139.00 / $13,961.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.64 / $1,148.44 / $2,010.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.28 / $1,261.74 / $1,984.46
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $7,194.67 / $7,355.95
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,566.32 / $6,713.28 / $7,490.10
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
$879.53 / $1,348.00 / $2,060.12