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Tennessee rates for HCPCS 52301

Cysto W/Resecj Ectopic Ureterocele Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.00 / $2,683.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.70 / $355.21 / $385.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,132.00 / $3,728.00 / $5,959.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.30 / $363.26 / $624.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.89 / $409.69 / $632.80
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,055.35 / $9,388.90 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,088.23 / $2,135.52 / $2,376.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,695.00 / $3,616.00 / $6,285.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.22 / $412.61 / $684.95