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Tennessee rates for HCPCS 12021

Treatment of superficial wound dehiscence; with packing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,819.70 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $147.91 / $269.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,513.56 / $2,137.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $194.98 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $208.93 / $416.87
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $19,498.45
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,479.11 / $1,479.11
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
$131.83 / $169.82 / $288.40