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Tennessee rates for HCPCS 50740

Ureteropyelostomy, anastomosis of ureter and renal pelvis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,821.00 / $3,290.03 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.58 / $1,475.35 / $1,600.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.00 / $2,324.00 / $4,372.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.00 / $1,496.41 / $2,594.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.26 / $1,642.75 / $2,653.49
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $11,063.60 / $11,317.44
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,662.16 / $8,856.87 / $10,590.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.00 / $2,512.00 / $4,626.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,143.17 / $1,806.96 / $2,729.40