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Tennessee rates for HCPCS 58572

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,201.86 / $5,208.89 / $19,870.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,691.00 / $7,194.00 / $13,961.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,897.00 / $27,770.10 / $27,770.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,964.00 / $8,273.00 / $12,407.00