go back

Tennessee rates for HCPCS 50980

Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus

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
$342.18 / $436.12 / $473.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,684.00 / $4,564.00 / $7,538.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.78 / $444.83 / $767.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.78 / $503.20 / $778.77
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,263.87 / $12,000.00 / $14,302.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,560.08 / $2,618.64 / $2,911.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,049.00 / $3,597.00 / $6,644.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.47 / $531.52 / $838.88