go back

Tennessee rates for HCPCS 58294

Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $2,691.53 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,348.96 / $2,137.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $5,623.41 / $9,332.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,819.70 / $2,818.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,584.89 / $2,570.40
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $10,964.78 / $10,964.78
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,709.64 / $10,232.93 / $10,232.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $5,754.40 / $10,232.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,659.59 / $2,511.89