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Tennessee rates for HCPCS 51050

Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $2,570.40 / $6,456.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $5,370.32 / $9,332.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $3,311.31
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $14,454.40 / $33,884.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $3,630.78 / $6,309.57