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Tennessee rates for HCPCS 57250

Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $2,691.53 / $5,495.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,370.32 / $9,332.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $2,951.21 / $2,951.21
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $12,589.25 / $42,657.95
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $4,570.88 / $7,585.78