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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
$917.06 / $2,683.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,363.00 / $4,614.00 / $7,950.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,628.72 / $14,302.50 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,695.00 / $3,616.00 / $6,285.00