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Tennessee rates for HCPCS 50630

Ureterolithotomy; lower one-third of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,190.16 / $3,329.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.97 / $1,097.31 / $1,190.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,430.00 / $7,133.00 / $13,623.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.27 / $1,119.26 / $1,965.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.50 / $1,247.50 / $1,961.20
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $7,109.27 / $7,270.20
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,487.76 / $6,633.76 / $7,402.58
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
$868.45 / $1,331.37 / $2,100.78