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Tennessee rates for HCPCS 50953

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