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Tennessee rates for HCPCS 58290

Vaginal Hysterectomy Uterus > 250 Gm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,256.00 / $3,697.54 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.55 / $1,297.83 / $1,526.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,171.00 / $6,138.00 / $9,272.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.43 / $1,470.86 / $2,333.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.20 / $1,578.67 / $2,557.28
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $16,298.90 / $16,298.90
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,273.92 / $8,525.84 / $9,690.37
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
$1,094.04 / $1,664.59 / $2,356.67