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Tennessee rates for HCPCS 57160

Fitting and insertion of pessary or other intravaginal support device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.21 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.03 / $72.78 / $190.79
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$19.82 / $30.61 / $47.61
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$7.93 / $12.24 / $19.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.00 / $1,364.00 / $2,186.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.66 / $78.88 / $135.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.62 / $81.62 / $138.13
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $220.78 / $220.78
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.24 / $533.04 / $626.85
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
$64.94 / $103.78 / $148.81