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Tennessee rates for HCPCS 57155

Insertion Uterine Tandem&/Vaginal Ovoids

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.90 / $2,303.00 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.22 / $348.38 / $514.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.54 / $390.54 / $447.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,734.00 / $4,657.00 / $7,538.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.39 / $454.95 / $723.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.90 / $430.90 / $430.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.35 / $484.15 / $805.47
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,331.60 / $1,429.42 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,954.00 / $4,954.00 / $4,954.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.00 / $1,560.00 / $6,830.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.56 / $542.26 / $813.05