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Tennessee rates for HCPCS 50951

Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.00 / $2,133.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,676.00 / $3,549.00 / $5,774.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,417.38 / $2,473.31 / $12,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.00 / $1,560.00 / $2,914.00