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Tennessee rates for HCPCS 58672

Laparoscopy, surgical; with fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,256.00 / $3,940.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.78 / $838.64 / $970.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,830.00 / $5,486.00 / $9,283.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.95 / $938.26 / $1,483.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.43 / $1,024.33 / $1,631.86
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,728.14 / $16,223.75 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,167.45 / $7,167.45 / $7,167.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,959.00 / $8,273.00 / $12,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.63 / $1,029.42 / $1,493.91