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Tennessee rates for HCPCS 53515

Urtorr Sutr Urethral Wnd/Inj Prostatomembranous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.00 / $2,311.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.67 / $978.40 / $1,061.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,056.00 / $4,657.00 / $7,782.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.08 / $997.98 / $1,762.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.45 / $1,111.11 / $1,749.73
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,931.88 / $14,302.50 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,010.07 / $9,010.07 / $9,010.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,690.00 / $4,572.00 / $8,436.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.29 / $1,137.17 / $1,872.00