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Tennessee rates for HCPCS 51610

Injection procedure for retrograde urethrocystography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.60 / $2,258.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.78 / $114.87 / $189.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.37 / $73.20 / $112.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.00 / $154.00 / $1,676.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $130.16 / $215.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.44 / $109.76 / $127.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.55 / $121.65 / $217.18
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $766.65 / $766.65
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.84 / $2,196.87 / $3,844.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $814.00 / $2,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.54 / $158.37 / $276.67