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Tennessee rates for HCPCS 58552

Laparoscopy, surgical, with vaginal 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
$1,391.00 / $5,002.93 / $19,870.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,512.00 / $7,194.00 / $13,734.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,897.00 / $27,770.10 / $27,770.10
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$248.78 / $2,632.21 / $2,632.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,964.00 / $8,273.00 / $12,407.00