go back

Tennessee rates for HCPCS 11772

Excision Pilonidal Cyst/Sinus Complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.88 / $2,586.32 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,132.00 / $3,728.00 / $5,959.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,973.56 / $4,070.10 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.00 / $3,612.00 / $6,003.00