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Tennessee rates for HCPCS 50947

Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,951.21 / $6,456.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $7,943.28 / $13,489.63
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,542.29 / $27,542.29 / $50,118.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $7,585.78 / $12,302.69