go back

Tennessee rates for HCPCS 57296

Revision (including removal) of prosthetic vaginal graft; open abdominal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,821.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.14 / $1,107.19 / $1,300.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.00 / $2,326.00 / $4,936.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.15 / $1,206.98 / $1,926.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.82 / $1,304.18 / $2,109.87
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $7,613.41 / $7,845.25
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,328.64 / $8,328.64 / $8,328.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $2,665.00 / $4,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.35 / $1,379.78 / $1,969.76