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Tennessee rates for HCPCS 50972

Ureteral endoscopy through ureterotomy, 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
$575.00 / $2,303.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.92 / $438.33 / $475.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,676.00 / $3,549.00 / $5,878.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.46 / $456.12 / $805.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.70 / $506.20 / $783.45
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,278.98 / $9,388.90 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,576.40 / $2,631.76 / $2,931.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.00 / $1,560.00 / $2,914.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.24 / $516.54 / $843.79