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Tennessee rates for HCPCS 57289

Pereyra procedure, including anterior colporrhaphy

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
$672.56 / $904.22 / $1,046.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,984.00 / $5,467.00 / $9,272.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.69 / $956.53 / $1,573.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.81 / $1,069.71 / $1,657.25
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,664.95 / $17,704.40 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,709.04 / $5,898.64 / $6,690.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,259.00 / $4,567.00 / $7,669.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.81 / $1,064.42 / $1,607.30