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Tennessee rates for HCPCS 57150

Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.41 / $48.75 / $146.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.12 / $48.75 / $75.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.00 / $1,500.00 / $2,257.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.02 / $51.31 / $88.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.51 / $56.74 / $96.40
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $122.31 / $135.88
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.00 / $417.68 / $474.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $808.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.64 / $70.95 / $108.58