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Tennessee rates for HCPCS 50840

Replacement of all or part of ureter by intestine segment, including intestine anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,821.00 / $3,373.66 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.01 / $1,524.49 / $1,940.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $2,324.00 / $4,528.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,147.44 / $1,543.11 / $2,731.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.32 / $1,716.99 / $2,704.22
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $11,203.76 / $11,447.92
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,764.62 / $9,764.62 / $10,209.83
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
$1,195.33 / $1,855.23 / $2,805.54