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Tennessee rates for HCPCS 52001

Cysto W/Irrig & Evac Multple Obstructing Clots

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.91 / $2,303.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.89 / $415.30 / $686.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,917.00 / $3,611.00 / $5,774.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.41 / $427.01 / $740.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.55 / $490.47 / $761.73
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,322.84 / $1,383.82 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,066.64 / $3,040.08 / $3,505.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.00 / $2,297.00 / $4,326.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.33 / $578.22 / $962.70