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Tennessee rates for HCPCS 50725

Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,821.00 / $3,020.49 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.75 / $1,354.48 / $1,469.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $2,302.00 / $4,372.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.33 / $1,381.57 / $2,415.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.93 / $1,541.01 / $2,419.78
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $10,014.32 / $10,240.64
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,473.45 / $8,473.45 / $9,120.15
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
$1,073.52 / $1,576.04 / $2,594.71