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Tennessee rates for HCPCS 52315

Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.00 / $2,311.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.27 / $449.89 / $661.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,610.00 / $2,800.00 / $3,710.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.54 / $455.50 / $789.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.14 / $500.57 / $845.21
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,323.07 / $1,424.08 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,314.00 / $4,764.99 / $4,922.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,522.38 / $3,612.00 / $6,285.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.25 / $609.85 / $1,002.45