go back

Tennessee rates for HCPCS 58662

Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,339.50 / $4,613.76 / $13,121.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,984.00 / $5,467.00 / $9,283.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,627.77 / $16,223.75 / $26,542.00
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$180.63 / $1,537.78 / $1,537.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,964.00 / $8,273.00 / $12,407.00