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Tennessee rates for HCPCS 50688

Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.00 / $2,303.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.84 / $94.11 / $102.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,530.00 / $2,676.00 / $3,681.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.39 / $100.13 / $173.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $111.89 / $180.62
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.02 / $5,444.45 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.78 / $655.54 / $677.17
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
$75.43 / $119.90 / $186.69