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Tennessee rates for HCPCS 50976

Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without 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
$448.32 / $571.38 / $619.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,684.00 / $4,614.00 / $7,782.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.36 / $593.29 / $1,048.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.04 / $657.95 / $1,019.02
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,966.95 / $12,000.00 / $14,302.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,352.80 / $3,428.32 / $3,815.93
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
$454.74 / $696.27 / $1,099.38