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Tennessee rates for HCPCS 58553

Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,821.00 / $4,341.45 / $20,647.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.85 / $1,285.08 / $1,684.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,512.00 / $7,194.00 / $13,498.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.31 / $1,444.41 / $2,272.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,074.93 / $1,549.96 / $2,526.07
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,897.00 / $27,770.10 / $27,770.10
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,000.00 / $9,000.00 / $9,426.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,964.00 / $8,273.00 / $12,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.50 / $1,542.08 / $2,293.44