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Tennessee rates for HCPCS 58673

Laparoscopy Salpingostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.00 / $3,940.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.18 / $910.43 / $1,053.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,139.00 / $7,133.00 / $13,734.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.47 / $1,020.63 / $1,610.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.59 / $1,113.77 / $1,773.28
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,130.93 / $26,542.00 / $27,770.10
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,544.97 / $6,544.97 / $6,674.93
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
$759.96 / $1,117.66 / $1,658.92