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Tennessee rates for HCPCS 58291

Vag Hyst > 250 Gm Rmvl Tube&/Ovary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.64 / $3,182.72 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.58 / $1,427.23 / $2,035.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,803.00 / $5,138.00 / $7,950.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.11 / $1,589.16 / $2,524.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.35 / $1,709.94 / $2,764.43
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $10,899.50 / $10,899.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,936.87 / $9,209.36 / $10,460.48
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
$1,186.64 / $1,735.72 / $2,599.92