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Tennessee rates for HCPCS 58267

Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,821.00 / $3,940.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.75 / $1,223.10 / $1,415.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,803.00 / $5,138.00 / $7,782.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.12 / $1,340.36 / $2,163.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.42 / $1,463.18 / $2,342.61
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $8,496.53 / $8,761.06
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,695.28 / $7,932.80 / $9,013.35
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
$1,003.98 / $1,531.63 / $2,310.75