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Tennessee rates for HCPCS 50974

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.00 / $2,303.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.39 / $579.12 / $628.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,734.00 / $4,657.00 / $7,782.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.25 / $590.71 / $1,064.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.93 / $667.62 / $1,033.95
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,007.90 / $12,000.00 / $14,302.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,398.48 / $3,476.56 / $3,868.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.00 / $2,297.00 / $4,326.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.05 / $726.15 / $1,131.80