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Tennessee rates for HCPCS 50955

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.00 / $2,133.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.06 / $465.14 / $570.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,676.00 / $4,564.00 / $7,538.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.37 / $485.40 / $852.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.00 / $546.04 / $856.26
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,775.85 / $2,837.38 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,536.56 / $3,820.83 / $6,333.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,695.00 / $3,616.00 / $6,285.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.66 / $658.66 / $999.63