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Tennessee rates for HCPCS 58263

Vag Hyst 250 Gm/< W/Rmvl Tube Ovary W/Rpr Ntrcl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,119.28 / $2,940.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,803.00 / $5,196.00 / $7,950.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $10,899.50 / $10,899.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,259.00 / $4,567.00 / $7,669.00