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Tennessee rates for HCPCS 58671

Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$698.80 / $2,678.00 / $8,750.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.25 / $405.42 / $604.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,695.00 / $5,486.00 / $9,283.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.08 / $463.86 / $749.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.22 / $507.03 / $808.14
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,412.55 / $16,223.75 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,806.88 / $2,806.88 / $3,147.90
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
$346.57 / $549.48 / $762.91