go back

Tennessee rates for HCPCS 50953

Ureteral Endoscopy Via Ureterost W/Wo Dil Ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.00 / $1,821.00 / $6,681.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,676.00 / $3,611.00 / $5,959.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,576.63 / $2,630.18 / $12,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.00 / $2,297.00 / $4,326.00