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Tennessee rates for HCPCS 58750

Tubotubal anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,150.00 / $3,329.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.99 / $1,041.92 / $1,205.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.00 / $2,344.00 / $4,372.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.31 / $1,171.08 / $1,878.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.83 / $1,253.83 / $2,060.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $10,042.62 / $10,042.62
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,322.65 / $7,322.65 / $7,671.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,259.00 / $4,567.00 / $7,669.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.03 / $1,359.40 / $1,850.00