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Tennessee rates for HCPCS 58540

Hysteroplasty, repair of uterine anomaly (Strassman type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $4,341.45 / $10,746.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.70 / $1,032.26 / $1,214.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.00 / $2,387.00 / $4,372.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.58 / $1,152.63 / $1,856.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.76 / $1,255.61 / $2,015.74
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $7,289.10 / $7,516.39
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,601.20 / $6,805.60 / $7,733.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $2,665.00 / $4,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.69 / $1,315.50 / $1,865.38