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Tennessee rates for HCPCS 57120

Colpocleisis (Le Fort type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,059.84 / $3,048.50 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,363.00 / $4,657.00 / $7,782.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $12,623.50 / $12,623.50
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$135.53 / $1,196.53 / $1,196.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,259.00 / $4,567.00 / $7,669.00