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Tennessee rates for HCPCS 58548

Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,101.63 / $4,162.89 / $20,647.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,512.00 / $7,178.00 / $13,623.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,897.00 / $19,265.66 / $19,828.25
Lucent Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$3,816.84 / $7,402.14 / $7,402.14
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$477.11 / $925.27 / $925.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,799.00 / $5,728.00 / $10,111.00