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Tennessee rates for HCPCS 58925

Ovarian cystectomy, unilateral or bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$855.03 / $2,794.39 / $6,681.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,625.00 / $4,564.00 / $7,782.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $10,899.50 / $10,899.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $4,463.00 / $7,669.00