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Tennessee rates for HCPCS 58542

Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,343.33 / $2,940.00 / $19,870.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,146.00 / $7,266.00 / $13,734.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,373.97 / $27,770.10 / $27,770.10
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$210.48 / $2,632.21 / $2,632.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,238.00 / $7,695.00 / $12,467.00