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Tennessee rates for HCPCS 54690

Laparoscopy Surgical Orchiectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,509.46 / $3,940.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.60 / $869.36 / $1,509.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,984.00 / $5,486.00 / $9,283.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.97 / $859.29 / $1,444.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.02 / $917.56 / $1,443.23
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,233.74 / $16,223.75 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,850.93 / $4,888.96 / $5,463.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,959.00 / $8,273.00 / $12,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.83 / $981.87 / $1,451.13