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Tennessee rates for HCPCS 0055T

Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on CT/MRI images (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $2,344.23 / $4,265.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $199.53 / $407.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $147.91 / $602.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $263.03 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,258.93
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,819.70 / $1,819.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $812.83 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $234.42 / $575.44