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Tennessee rates for HCPCS 58558

Hysteroscopy Bx Endometrium&/Polypc W/Wo D&C

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$982.22 / $3,297.45 / $7,938.73
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$97.95 / $293.67 / $1,809.16
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$39.18 / $117.47 / $723.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.38 / $413.98 / $1,858.11
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$39.18 / $241.37 / $356.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.97 / $320.97 / $1,468.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,132.00 / $3,688.00 / $5,878.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.65 / $475.52 / $2,340.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.01 / $517.66 / $2,209.79
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,131.86 / $2,294.04 / $26,542.00
Lucent Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$840.46 / $896.65 / $896.65
Lucent Health
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$210.11 / $224.16 / $224.16
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,713.31 / $8,969.32 / $10,538.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,695.00 / $3,616.00 / $6,285.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.83 / $1,386.62 / $2,706.50