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Tennessee rates for HCPCS 58760

Fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $2,691.53 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $891.25 / $1,445.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,290.87 / $4,365.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,202.26 / $1,862.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,071.52 / $1,737.80
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $6,456.54 / $6,456.54
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,079.46 / $7,079.46 / $7,079.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $4,570.88 / $7,585.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,096.48 / $1,659.59