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Tennessee rates for HCPCS 12021

Tx Superficial Wound Dehiscence W/Packing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.35 / $2,133.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.27 / $145.63 / $204.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.00 / $1,500.00 / $2,244.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.72 / $172.88 / $276.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.56 / $202.96 / $413.71
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.32 / $712.31 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.24 / $1,268.72 / $1,488.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $794.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.31 / $184.99 / $338.46