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Tennessee rates for HCPCS 54840

Excision of spermatocele, with or without epididymectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$853.00 / $2,683.00 / $7,602.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,627.50 / $4,627.50 / $4,627.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,662.00 / $2,867.00 / $4,235.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,195.44 / $5,444.45 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,695.00 / $3,616.00 / $6,285.00