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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
$707.95 / $2,454.71 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $416.87 / $776.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $323.59 / $537.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $6,456.54 / $9,772.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $549.54 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $489.78 / $776.25
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,218.10 / $16,218.10 / $45,708.82
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $3,162.28 / $3,162.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $7,585.78 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $501.19 / $758.58