go back

Tennessee rates for HCPCS 50780

Ureteroneocystostomy; anastomosis of single ureter to bladder

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,691.53 / $7,585.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,454.71 / $4,570.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $8,912.51 / $8,912.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $3,630.78 / $6,309.57