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Tennessee rates for HCPCS 58720

Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,256.00 / $3,478.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.00 / $2,387.00 / $4,235.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $6,065.64 / $6,240.78
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$193.04 / $376.31 / $376.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,799.00 / $5,728.00 / $10,111.00