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Tennessee rates for HCPCS 58611

Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $2,344.23 / $12,302.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $100.00 / $288.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $70.79 / $107.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $151.36 / $2,754.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $112.20 / $173.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $104.71 / $169.82
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $4,265.80 / $4,265.80
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,630.27 / $4,786.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $104.71 / $158.49