go back

Tennessee rates for HCPCS 58953

Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,258.00 / $3,940.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.00 / $2,387.00 / $4,827.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $20,489.75 / $21,068.46
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$507.12 / $982.36 / $982.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $2,665.00 / $4,918.00