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Tennessee rates for HCPCS 51820

Cystourethroplasty with unilateral or bilateral ureteroneocystostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,446.84 / $4,341.45 / $10,746.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.65 / $1,333.97 / $1,446.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.00 / $2,344.00 / $4,235.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.76 / $1,377.95 / $2,346.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.09 / $1,539.41 / $2,384.62
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $8,645.70 / $8,836.03
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,018.90 / $10,018.90 / $10,138.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $2,665.00 / $4,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.59 / $1,601.82 / $2,551.30