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Tennessee rates for HCPCS 57284

Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,150.00 / $3,329.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.65 / $952.74 / $1,102.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,562.00 / $4,657.00 / $7,950.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.73 / $1,048.65 / $1,685.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.82 / $1,139.74 / $1,818.97
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $10,899.50 / $10,899.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,033.76 / $6,195.76 / $7,064.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,799.00 / $5,728.00 / $10,111.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.64 / $1,180.40 / $1,718.42